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Implantation of Submammary Implantable Cardioverter Defibrillators
Author(s) -
ÖZİN BÜLENT,
BORMAN HÜSEYIN,
BOZBAŞ HÜSEYUN,
ATAR İLYAS,
KORKMAZ MEHMET EMIN,
MÜDERRİSOǦLU HALDUN
Publication year - 2004
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.1540-8159.2004.00528.x
Subject(s) - medicine , cardiology , implantable cardioverter defibrillator , electrocardiography , defibrillation , medical emergency
Implantable cardioverter defibrillators (ICDs) are routinely placed in the left pectoral area using a transvenous approach. This approach may result in poor cosmetic outcome and cause psychological problems, especially in younger patients. To avoid this, several alternative implantation techniques have been developed. For cosmetic reasons, we used a submammary technique to implant ICDs into three young women. Apart from defibrillation threshold testing, the procedures were performed under local anesthesia. Threshold testing was done under general anesthesia. Appropriate defibrillation thresholds were obtained in all three cases, and all the patients tolerated the procedure well. There were no complications in a mean of 22 months of follow‐up, and the cosmetic results were very good.(PACE 2004; 27[Pt. I]:779–782)