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Implantation of Active Can Implantable Defibrillators in the right Pectoral Region
Author(s) -
JENSEN STEEN M.,
PIETERSEN ADRIAN,
CHEN XU
Publication year - 1998
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1998.tb00078.x
Subject(s) - pectoral muscle , medicine , defibrillation , defibrillation threshold , position (finance) , implantable cardioverter defibrillator , cardiology , anatomy , finance , economics
Routinely the active can ICD is placed in the left side pectoral position, which theoretically gives optimal conditions for a low defibrillation threshold. Some patients, bowever, demand a right pectoral position, which possibly could result in a bigger defibrillation threshold. A right pectoral position was used in 3 of 85 active can ICDs implanted in our institution from 1994. the DFT was 12 J in two and 18 f in one patient. Thus, right pectoral implantation is feasible and offers an alternative approach in selected patients.