RSS-Feed abonnieren
DOI: 10.1055/s-0037-1601313
An Extrapericardial Minimally Invasive Approach for Implantable Cardioverter Defibrillator
Publikationsverlauf
28. Oktober 2016
20. Februar 2017
Publikationsdatum:
21. März 2017 (online)
![](https://www.thieme-connect.de/media/thoracic/201706/lookinside/thumbnails/10-1055-s-0037-1601313_164656c-1.jpg)
Abstract
The indications for placement of an implantable cardioverter defibrillators (ICDs) have greatly expanded over the last years. However, standard transvenous approach is not suitable for a subset of patients who cannot benefit from ICD therapy. Here, we have demonstrated the feasibility and efficacy of extrapericardial ICD placement through a minimally invasive access in intact hearts as well as in postmyocardial infarction large animal models. Based on our data, we conclude that extrapericardial ICD placement is a feasible approach that may be a valuable alternative or adjunct to current defibrillator lead systems.
Note
Presented at the 9th Annual Meeting on Arrhythmia and Cardiac Surgery, Brisbane, Australia, July 14–15, 2016.
-
References
- 1 Berul CI, Van Hare GF, Kertesz NJ. , et al. Results of a multicenter retrospective implantable cardioverter-defibrillator registry of pediatric and congenital heart disease patients. J Am Coll Cardiol 2008; 51 (17) 1685-1691
- 2 Blom NA. Implantable cardioverter-defibrillators in children. Pacing Clin Electrophysiol 2008; 31 (Suppl. 01) S32-S34
- 3 Sweeney MO. Antitachycardia pacing for ventricular tachycardia using implantable cardioverter defibrillators. Pacing Clin Electrophysiol 2004; 27 (09) 1292-1305
- 4 Czapla J, Wellens F, Nijs J, La Meir M. Video-assisted thoracoscopic implantation of cardioverter-defibrillator systems. Ann Thorac Surg 2014; 98 (05) 1855-1857
- 5 Clark BC, Davis TD, El-Sayed Ahmed MM. , et al. Minimally invasive percutaneous pericardial ICD placement in an infant piglet model: head-to-head comparison with an open surgical thoracotomy approach. Heart Rhythm 2016; 13 (05) 1096-1104
- 6 Chevalier P, Moncada E, Canu G. , et al. Symptomatic pericardial disease associated with patch electrodes of the automatic implantable cardioverter defibrillator: an underestimated complication?. Pacing Clin Electrophysiol 1996; 19 (12 Pt 1): 2150-2152
- 7 Jarman JW, Lascelles K, Wong T, Markides V, Clague JR, Till J. Clinical experience of entirely subcutaneous implantable cardioverter-defibrillators in children and adults: cause for caution. Eur Heart J 2012; 33 (11) 1351-1359