title: Comparison of internal cardioverter defibrillator implantation techniques: subpectoral position.
abstract: 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.
authors: Department of Cardiothoracic Surgery, University of California, San Francisco, CA 94143, USA.
authors: T S
authors: TS
authors: Hall
mesh_terms: D001145:Arrhythmias, Cardiac / Q000628:therapy*; D017147:Defibrillators, Implantable; D006801:Humans; D010369:Pectoralis Muscles / Q000601:surgery; D011446:Prospective Studies