Advanced search
1 file | 1.55 MB

A new transvenous internal cardioverter-defibrillator: implantaton technique, complications, and short term follow-up

(1995) AMERICAN HEART JOURNAL. 129(2). p.251-258
Author
Organization
Abstract
Twenty-four patients with ventricular fibrillation or sustained ventricular tachycardia underwent implantation of a new transvenous defibrillator. All patients had a device implanted without thoracotomy. High placement of a shock lead in the anonymous vein and inversion of the shock-wave polarity allowed avoidance of placement of subcutaneous patches, Implantation time decreased from 138 minutes for the first 12 patients to 82 minutes for the last 12 patients, with 4 and 11 subpectoral pockets, respectively. Three patients required a minor reintervention. No bleeding or infection occurred, One episode of pulmonary edema and one pulmonary embolism were seen in the postoperative course, No postoperative deaths were observed, During a mean follow-up period of 4.12 months, 58% of the 24 patients had symptomatic arrhythmic episodes, with shocks in 50% of the 24. Inappropriate shocks were delivered in three cases (atrial fibrillation and T-wave sensing), One episode was not terminated even with four internal shocks, One patient had ventricular fibrillation because of a sensing problem, By reprogramming of sensitivity, back-up pacing, and adjustment of drug therapy these arrhythmic complications could be prevented, Pectoral implantation of a cardioverter-defibrillator is easy and can be performed by cardiologists experienced in pacemaker implantation, Careful postoperative observation, reprogramming after the first spontaneous event, and prehospital discharge induction of ventricular fibrillation will prevent arrhythmic complications.
Keywords
EXPERIENCE, NONTHORACOTOMY LEAD SYSTEM, THRESHOLD, PATCH

Downloads

  • (...).pdf
    • full text
    • |
    • UGent only
    • |
    • PDF
    • |
    • 1.55 MB

Citation

Please use this url to cite or link to this publication:

Chicago
Jordaens, Luc, Patrick Vertongen, Frank Provenier, Jan Trouerbach, Jan Poelaert, and Luc Herregods. 1995. “A New Transvenous Internal Cardioverter-defibrillator: Implantaton Technique, Complications, and Short Term Follow-up.” American Heart Journal 129 (2): 251–258.
APA
Jordaens, Luc, Vertongen, P., Provenier, F., Trouerbach, J., Poelaert, J., & Herregods, L. (1995). A new transvenous internal cardioverter-defibrillator: implantaton technique, complications, and short term follow-up. AMERICAN HEART JOURNAL, 129(2), 251–258.
Vancouver
1.
Jordaens L, Vertongen P, Provenier F, Trouerbach J, Poelaert J, Herregods L. A new transvenous internal cardioverter-defibrillator: implantaton technique, complications, and short term follow-up. AMERICAN HEART JOURNAL. 1995;129(2):251–8.
MLA
Jordaens, Luc, Patrick Vertongen, Frank Provenier, et al. “A New Transvenous Internal Cardioverter-defibrillator: Implantaton Technique, Complications, and Short Term Follow-up.” AMERICAN HEART JOURNAL 129.2 (1995): 251–258. Print.
@article{192133,
  abstract     = {Twenty-four patients with ventricular fibrillation or sustained ventricular tachycardia underwent implantation of a new transvenous defibrillator. All patients had a device implanted without thoracotomy. High placement of a shock lead in the anonymous vein and inversion of the shock-wave polarity allowed avoidance of placement of subcutaneous patches, Implantation time decreased from 138 minutes for the first 12 patients to 82 minutes for the last 12 patients, with 4 and 11 subpectoral pockets, respectively. Three patients required a minor reintervention. No bleeding or infection occurred, One episode of pulmonary edema and one pulmonary embolism were seen in the postoperative course, No postoperative deaths were observed, During a mean follow-up period of 4.12 months, 58% of the 24 patients had symptomatic arrhythmic episodes, with shocks in 50% of the 24. Inappropriate shocks were delivered in three cases (atrial fibrillation and T-wave sensing), One episode was not terminated even with four internal shocks, One patient had ventricular fibrillation because of a sensing problem, By reprogramming of sensitivity, back-up pacing, and adjustment of drug therapy these arrhythmic complications could be prevented, Pectoral implantation of a cardioverter-defibrillator is easy and can be performed by cardiologists experienced in pacemaker implantation, Careful postoperative observation, reprogramming after the first spontaneous event, and prehospital discharge induction of ventricular fibrillation will prevent arrhythmic complications.},
  author       = {Jordaens, Luc and Vertongen, Patrick and Provenier, Frank and Trouerbach, Jan and Poelaert, Jan and Herregods, Luc},
  issn         = {0002-8703},
  journal      = {AMERICAN HEART JOURNAL},
  keywords     = {EXPERIENCE,NONTHORACOTOMY LEAD SYSTEM,THRESHOLD,PATCH},
  language     = {eng},
  number       = {2},
  pages        = {251--258},
  title        = {A new transvenous internal cardioverter-defibrillator: implantaton technique, complications, and short term follow-up},
  url          = {http://dx.doi.org/10.1016/0002-8703(95)90005-5},
  volume       = {129},
  year         = {1995},
}

Altmetric
View in Altmetric