Related Experiment Videos
[The implantable defibrillator. Long-term clinical results]
J F Leclercq1, A Leenhardt, P Coumel
1Clinique cardiologique, Hôpital Lariboisière, Paris.
Presse Medicale (Paris, France : 1983)
|March 5, 1988
Summary
Implantable defibrillators effectively treat ventricular arrhythmias and prevent sudden cardiac death. Improvements in implantation techniques have reduced complications, making the device reliable for long-term patient care.
Area of Science:
- Cardiology
- Medical Devices
- Electrophysiology
Context:
- Implantable automatic defibrillators (IADs) are crucial for managing life-threatening ventricular arrhythmias.
- Early IAD technology presented challenges in patient tolerance and implantation procedures.
Purpose:
- To evaluate the safety and efficacy of early implantable automatic defibrillator (IAD) implantation techniques.
- To assess the performance and complication rates associated with different surgical approaches for IAD placement.
Summary:
- 17 patients received IADs between 1982 and 1986 using either thoracic or subcostal routes.
- The subcostal approach with two epicardial patches showed improved device tolerance compared to the thoracic route.
- Follow-up revealed successful arrhythmia management in most patients, with shocks correlating to documented arrhythmias; however, two sudden deaths occurred.
Impact:
- The study highlights the evolution of IAD technology, demonstrating reduced local complications with improved techniques.
- Implantable defibrillators are confirmed as a reliable and effective intervention for preventing sudden cardiac death due to ventricular arrhythmias.