Linked Life Data

7942452

Source:http://linkedlifedata.com/resource/pubmed/id/7942452

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1994-10-27
pubmed:abstractText
In published series of nonthoractomy ICDs, there has invariably been a need for combining transvenous lead(s) with a subcutaneous patch to obtain adequate DFTs. Since the newer generation transvenous lead ICD systems became available for clinical investigation, we have tested and implanted 38 such systems in patients with drug-refractory malignant ventricular arrhythmias who were first seen with aborted sudden death (n = 10), syncope (n = 3), or sustained ventricular tachycardia (n = 25). These patients (mean age 60 +/- 15 years) had coronary artery disease (n = 25), congenital heart disease (n = 1), or cardiomyopathy (n = 12) as the underlying heart disease and a mean left ventricular ejection fraction of 34% +/- 16%. Seventeen (45%) patients had previous cardiac surgery (coronary bypass and/or valve replacement). The transvenous lead system included the Endotak C (single) lead of CPI (n = 27) or the EnGuard double-lead system of Telectronics (n = 11). The integrated pace/sense/defibrillation lead(s) were usually introduced via the left cephalic vein; after endocardiac positioning and testing, the leads were tunneled to the abdominal pocket in which the ICD device was implanted. DFTs were adequate for all patients (100%) and averaged 13.5 +/- 5.4 J (range 2.4 to 25 J). A subcutaneous patch or array was needed in only three patients. Because of protocol requirements, a subcutaneous patch or electrode array was intraoperatively tested in another three patients but was finally not implanted because better DFTs were achieved with the transvenous lead-alone configuration. The leads were combined with second-generation devices in 12 patients and third-generation ICDs in 26 (68%) patients.(ABSTRACT TRUNCATED AT 250 WORDS)
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0002-8703
pubmed:author
pubmed:issnType
Print
pubmed:volume
128
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
808-15
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1994
pubmed:articleTitle
Fully transvenous cardioverter defibrillators: rare need for subcutaneous patch with two newer-generation systems.
pubmed:affiliation
Department of Medicine, New England Medical Center, Tufts University School of Medicine, Boston, MA 02111.
pubmed:publicationType
Journal Article, Comparative Study