Arrhythmias after cardioverter-defibrillator implantation: Comparison of epicardial and transvenous systems

Atrial dysrhythmias due to extrinsic left atrial compression by an esophageal stent

“…10 Although many complex neurohormonal pathways have been suggested to explain the phenomenon of dysrhythmia in association with left atrial compression, we believe that the resolution of atrial arrhythmias after removal of the source of extrinsic compression strongly supports the hypothesis that direct epicardial disruption is a pathophysiologic driver. A study by Ong and colleagues 11 demonstrated iatrogenic irritation of the epicardium after epicardial implantable cardioverter-defibrillator implantation is associated with increased risk of atrial fibrillation compared with transvenous approaches. Lastly, atrial stretching caused by direct compression of cardiac myocytes may also contribute to atrial arrhythmia.…”

Atrial Fibrillation After Lung Transplantation: Incidence, Predictors and Long-Term Implications

“…For example, epicardial implantable cardioverterdefibrillator (ICD) implantation results in significantly more cases (9%) of post-operative atrial fibrillation than does transvenous ICD implantation (1%). 15 Additionally, the risk of post-operative pericarditis during non-cardiac thoracic surgery appears to increase when the pericardium is manipulated surgically . 16 In some series, however, pericarditis was not found to be predictive of post-operative atrial fibrillation .…”

Implantation von Kardioverter-Defibrillatoren

“…wicklungszeitpunkt wurden epikardiale "Patch"-Elektroden über eine linksseitige oder mediane Thorakotomie aufgenäht [48,68,73]. Für diesen Eingriff war eine Intubationsnarkose mit maschineller Beatmung des Patienten zwingend notwendig [87].…”