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Left Axillary Implantation of Loop Recorder
Author(s) -
MIRACAPILLO GENNARO,
COSTOLI ALESSANDRO,
ADDONISIO LUIGI,
GEMIGNANI LUCIA,
MANFREDINI ENRICO,
CORBUCCI GIORGIO,
SEVERI SILVA,
BAROLD S. SERGE
Publication year - 2010
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.1540-8159.2010.02764.x
Subject(s) - medicine , implantable loop recorder , loop (graph theory) , surgery , amplitude , cardiology , optics , physics , mathematics , combinatorics , atrial fibrillation
Background: We compared the clinical course of 10 patients who received an implantable loop recorder (ILR) at a traditional site with 11 patients whose ILRs were implanted via a subpectoral site via a left axillary approach without complications.Methods and Results: R‐wave amplitude was determined at implantation and during follow‐up. Each patient was followed after 7 days to optimize device setting and then at 1 and 3 months. The R‐wave amplitude obtained with the new technique was significantly higher and more stable than that obtained with the standard procedure. Our preliminary experience suggests that axillary access for ILR implantation is feasible, safe, well tolerated, and reliable in terms of sensing function and device performance. Moreover, it is superior aesthetically to the standard approach and carries the potential of minimizing permanent scarring after ILR extraction. (PACE 2010; 999–1002)