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Updated: Aug 6, 2026
A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
Published on: February 28, 2012
Comparison of internal cardioverter defibrillator implantation techniques: subpectoral position
1Department of Cardiothoracic Surgery, University of California, San Francisco, CA 94143, USA.
Background:
To compare surgical techniques for subpectoral implantation of internal cardioverter defibrillator (ICD).
Methods:
Sequential comparison with review of the literature.
Setting:
University Hospital.
Participants:
the patients requiring ICD.
Interventions:
ICD insertions and device testing.
Measurements:
defibrillation and pacing thresholds, defibrillator lead impedance, operative time, and proximity of generator site to midline, clinical outcomes.
Results:
Comparable efficacy in defibrillation, surgical time and medial placement. No wound infections, seromas or lead dislodgments. Preservation of pectoral muscle integrity.
Conclusions:
Lateral single incision subpectoral ICD generator placement can be applied consistently with good RESULTS.
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