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Related Experiment Videos

New approach to defibrillator insertion.

R S Hartz1, R Kehoe, J W Frederiksen

  • 1Northwestern University Medical School, Department of Surgery, Chicago, IL 60611.

The Journal of Thoracic and Cardiovascular Surgery
|June 1, 1989
PubMed
Summary
This summary is machine-generated.

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A new surgical technique implants the automatic implantable cardioverter/defibrillator generator into the chest wall. This approach improves patient comfort and cosmetic outcomes, offering an alternative to abdominal implantation.

Area of Science:

  • Cardiovascular Surgery
  • Medical Device Technology
  • Implantable Devices

Background:

  • The automatic implantable cardioverter/defibrillator (AICD) is crucial for managing life-threatening ventricular arrhythmias.
  • Current AICD implantation in the abdominal wall can cause cosmetic issues and skin erosion, particularly in thin patients.

Observation:

  • The standard AICD device is large (250 gm, 10.8 x 7.6 cm), leading to abdominal wall protrusion.
  • Abdominal AICD placement negatively impacts patient self-image and carries a risk of skin erosion.

Findings:

  • A novel surgical technique involves implanting the AICD generator directly into the chest wall.
  • Two patients receiving this chest wall implantation reported being virtually unaware of the device's presence.

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Implications:

  • Chest wall implantation offers a viable alternative to abdominal AICD placement, especially when the latter is technically challenging.
  • This technique may enhance patient quality of life by improving comfort and addressing cosmetic concerns associated with AICD therapy.