论文信息 - A Subcutaneous Lead Array for Implantable Cardioverter Defibrillators

A Subcutaneous Lead Array for Implantable Cardioverter Defibrillators

Two patients received an implantable cardioverter defibrillator with the combination of a transvenous lead and a subcutaneous lead array with three branches. This approach allowed us to find low defibrillation threshoids in both patients (≤10 and ≤ 15 joules [J], respectively], which was impossible with a transvenous catheter. In a third patient, a crinkled subcutaneous patch was replaced by an array. The defibrillation threshoid with the array was ≤ 20 J, as opposed to ≤24 J with the patch. No surgical problems occurred. The subcutaneous array is a technical improvement for tiie therapy with impiantable defibrillators, when a single catheter system is not sufficient to ensure a safety margin for defibrillation, or when surgicai or postsurgical problems occur with a subcutaneous patch.

L. Jordaens | P. Vertongen | Y. Belleghem

[1] S. Saksena,et al. Prospective comparison of biphasic and monophasic shocks for implantable cardioverter-defibrillators using endocardial leads. , 1992, The American journal of cardiology.

[2] L. Jordaens. Assessment of the Defibrillation Threshold and Appropriate Sensing during Cardioverter Defibrillator Implantation , 1992, Pacing and clinical electrophysiology : PACE.

[3] F. Callaghan,et al. Ventricular and Atrial Defibrillation Using New Transvenous Tripolar and Bipolar Leads with 5 French Electrodes and 8 French Subcutaneous Catheters , 1991, Pacing and clinical electrophysiology : PACE.

[4] S. Pinski,et al. Patients with a high defibrillation threshold: clinical characteristics, management, and outcome. , 1991, American heart journal.

[5] S. Saksena. Current application of implantable cardioverter-defibrillators in the management of malignant ventricular tachyarrhythmias. , 1990, Cardiology.

[6] S. Saksena,et al. Initial clinical experience with endocardial defibrillation using an implantable cardioverter/defibrillator with a triple-electrode system. , 1989, Archives of internal medicine.

[7] S. Bach,et al. Measurement of cardioversion/defibrillation thresholds in man by a truncated exponential waveform and an apical patch-superior vena caval spring electrode configuration. , 1984, Circulation.