Thoracoscopic Implantation of An Array Electrode in the Pericardium Transverse Sinus to Reduce Defibrillation Threshold

Author:

Curnis Antonio1,Muneretto Claudio2,Bisleri Gianluigi3,Cerini Manuel1,Inama Lorenza1,Salghetti Francesca1,De Vito Raffaella1,Giroletti Laura2,Rosati Fabrizio2,Giacopelli Daniele4,Vassanelli Francesca1,Bontempi Luca1

Affiliation:

1. Division of Cardiology, Spedali Civili Hospital, Brescia, Italy

2. Division of Cardiac Surgery, University of Brescia Medical School, Brescia, Italy

3. Division of Cardiac Surgery, Queen's University, Kingston General Hospital, Kingston, ON Canada

4. Clinical Research, BIOTRONIK Italia, Milano, Italy.

Abstract

Among the implantable cardioverter defibrillator recipients, there is still a subgroup of patients in whom the defibrillation threshold is too high and the maximal shock output of the implantable cardioverter defibrillator can fail to terminate a ventricular arrhythmia. We report a new thoracoscopic minimally invasive approach to place a standard array electrode in the transverse pericardial sinus of a patient implanted with a cardiac resynchronization and defibrillation therapy device with persistent high defibrillation threshold. This approach was developed to achieve very low shock impedance with a consequent increase in the current flow and reduction of defibrillation threshold.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Surgery,Pulmonary and Respiratory Medicine

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Completely epicardial implantable cardioverter/defibrillator (ICD) and CRT‐D systems: A case series and systematic literature review;Pacing and Clinical Electrophysiology;2021-08-02

2. Percutaneous epicardial pacing using a novel transverse sinus device;Journal of Cardiovascular Electrophysiology;2018-07-06

3. Video-Assisted Thoracoscopic Monitoring of Laser Lead Extraction by Femoral Route;Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery;2018-05

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