Minimally invasive trans-mediastinal endoscopic approach to insert phrenic stimulation electrodes in the human diaphragm: a preliminary description in cadavers | Zendy

Jalal Assouad | Zendy; Hicham Masmoudi | Zendy; Camille Steltzlen | Zendy; Dominique Grunenwald | Zendy; V. Delmas | Zendy; Thomas Similowski | Zendy

Open Access

Minimally invasive trans-mediastinal endoscopic approach to insert phrenic stimulation electrodes in the human diaphragm: a preliminary description in cadavers

Author(s) -

Jalal Assouad,

Hicham Masmoudi,

Camille Steltzlen,

Dominique Grunenwald,

V. Delmas,

Thomas Similowski

Publication year - 2011

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1016/j.ejcts.2011.05.042

Subject(s) - diaphragm (acoustics) , medicine , cadaver , phrenic nerve , endoscopy , surgery , anatomy , respiratory system , engineering , loudspeaker , electrical engineering

Diaphragm pacing by phrenic nerve (PN) stimulation is currently used for patients with central respiratory paralysis to be weaned from mechanical ventilation. Electrodes are inserted either through bilateral thoracotomy or through four ports laparoscopy. The aim of this experimental work is to demonstrate the feasibility of trans-mediastinal bilateral implantation of PN electrodes using a flexible gastroscope introduced through a cervical incision in human cadavers.

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