Minimally invasive implantation of a cardioverter-defibrillator in a small patient

Snyder, Christopher S.; Lucas, Victor; Young, Thomas W.; Darling, R; Dalal, Geeta; Davis, James E.

doi:10.1016/j.jtcvs.2007.01.042

Cited by 7 publications

(3 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4 Although many creative configurations had been defined in order to set up the most effective and reliable system, our configuration seems to involve one of the shortest distances between the active can and the high voltage defibrillation coil. [4][5][6][7][8][9][10][11] We believe that the vector distance plays an important role in the production of low defibrillation energy. Berul et al had worked on animal models and they attributed the high DFT values to the increased cardiac mass and the body shape of the different species.…”

Section: Discussionmentioning

confidence: 95%

“…Even though the high DFTs may simply be attributed to the patient's underlying electrical stability, it may also result from the distance between the active can and the defibrillating coil . Although many creative configurations had been defined in order to set up the most effective and reliable system, our configuration seems to involve one of the shortest distances between the active can and the high voltage defibrillation coil . We believe that the vector distance plays an important role in the production of low defibrillation energy.…”

Section: Discussionmentioning

confidence: 97%

See 1 more Smart Citation

Implantation of Looped Epicardial Cardioverter Defibrillator Coil on the Surface of the Right Ventricular Outflow Tract

et al. 2015

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 97%

Implantation of Looped Epicardial Cardioverter Defibrillator Coil on the Surface of the Right Ventricular Outflow Tract

et al. 2015

View full text Add to dashboard Cite

show abstract

“…performing a sternotomy and placing a coil tightly looped around itself in a snail‐shell‐like appearance on the RVOT 1 . For minimal invasive thoracoscopic or sub‐xiphoid approaches, innovative techniques for “halo,” “sling,” or “loop” configurations of single or dual coils are described 2,3 . The majority of high voltage coils were actively secured by sutures on the epicardium or the inside of the parietal pericardium.…”

Section: Systematic Literature Reviewmentioning

confidence: 99%

Completely epicardial implantable cardioverter/defibrillator (ICD) and CRT‐D systems: A case series and systematic literature review

Tonko

Blauth

Rosenthal

et al. 2021

Pacing Clinical Electrophis

View full text Add to dashboard Cite

Background Epicardial ICD systems and CRT‐Ds using high voltage coils represent an alternative to transvenous systems in patients without central venous access and prior device complications including infection. Objective We present a case series in the adult population of epicardial ICD/CRTD systems using high voltage epicardial coils. We summarize the existing data regarding techniques, efficacy, and safety. Methods A retrospective board approved medical record review was conducted for all patients undergoing epicardial ICD/CRTD placement at our institution between January 2010 and May 2020. The literature was reviewed for prior published trials, case reports, and case series of epicardial high voltage coil insertions. Results Eleven patients (six female, mean age 48 years) underwent epicardial ICD/CRTD implant including 5/11 completely epicardial CRTD systems. The procedure was performed via median sternotomy in eight patients, left anterior thoracotomy in two patients, and sub‐xiphoid approach in one patient. After a mean follow up of 35 months, appropriate successful shocks were delivered in two (18%) patients and no patients received an inappropriate shock. Three of five (60%) patients had volumetric remodeling with CRT with significant improvement of LV EF. Device‐related complications requiring a surgical/percutaneous revision or another DFT test occurred in six patients (54%). One patient died during follow up due to refractory heart failure. No cases of epicardial device infection, coronary artery compression, constrictive pericarditis, or erosion of defibrillator coils into intrathoracic organs were reported. No randomized studies comparing safety and efficacy of traditional transvenous or subcutaneous ICD systems and epicardial ICD systems using contemporary high voltage coils were found nor any studies directly comparing epicardial defibrillator patches versus epicardial coils. Thirteen case series and 24 single case reports published between 2004 and 2020 were identified describing in total a heterogenous group of 188 patients with ICD systems incorporating one or more epi‐ or pericardially positioned shock coils. Conclusion The use of epicardial defibrillation coils for ICD/CRT‐D is a feasible treatment option for patients with either failed or contraindicated transvenous ICD systems. Dedicated epicardial high voltage leads with integrated pace‐sense electrodes and specialized delivery tools for minimal invasive implantations may improve longer term outcomes.

show abstract

The Future of the Implantable Defibrillator

Kroll¹,

Swerdlow

Cardiac Bioelectric Therapy

View full text Add to dashboard Cite

Minimally invasive implantation of a cardioverter-defibrillator in a small patient

Abstract: The study was supported by the Deutsches Herzzentrum Berlin, Germany.

Cited by 7 publications

References 5 publications

Implantation of Looped Epicardial Cardioverter Defibrillator Coil on the Surface of the Right Ventricular Outflow Tract

Implantation of Looped Epicardial Cardioverter Defibrillator Coil on the Surface of the Right Ventricular Outflow Tract

Completely epicardial implantable cardioverter/defibrillator (ICD) and CRT‐D systems: A case series and systematic literature review

The Future of the Implantable Defibrillator

Contact Info

Product

Resources

About