Comparison of internal cardioverter defibrillator implantation techniques: subpectoral position.
BACKGROUND
To compare surgical techniques for subpectoral implantation of internal cardioverter defibrillator (ICD).


METHODS
Sequential comparison with review of the literature.


METHODS
University Hospital.


METHODS
the patients requiring ICD.


METHODS
ICD insertions and device testing.


METHODS
defibrillation and pacing thresholds, defibrillator lead impedance, operative time, and proximity of generator site to midline, clinical outcomes.


RESULTS
Comparable efficacy in defibrillation, surgical time and medial placement. No wound infections, seromas or lead dislodgments. Preservation of pectoral muscle integrity.


CONCLUSIONS
Lateral single incision subpectoral ICD generator placement can be applied consistently with good RESULTS.
Hall
T S
TS
Department of Cardiothoracic Surgery, University of California, San Francisco, CA 94143, USA.
D001145:Arrhythmias, Cardiac / Q000628:therapy*; D017147:Defibrillators, Implantable; D006801:Humans; D010369:Pectoralis Muscles / Q000601:surgery; D011446:Prospective Studies