Transvenös-subkutane Implantation eines Kardioverter-Defibrillators nach biologischem Trikuspidalklappenersatz
| Autor: | Ulrike Wetzel, Ingo Dähnert, Jan Gummert, A. Dorszewski, Nico Doll, Peter Schneider, H. Bernau, Friedrich-Wilhelm Mohr |
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| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
Tricuspid valve Defibrillation business.industry medicine.medical_treatment Tricuspid valve replacement Implantable cardioverter-defibrillator Surgery medicine.anatomical_structure Tricuspid Valve Insufficiency Superior vena cava Shock (circulatory) cardiovascular system medicine cardiovascular diseases medicine.symptom Cardiology and Cardiovascular Medicine business Coronary sinus |
| Zdroj: | Zeitschrift für Kardiologie. 92:490-493 |
| ISSN: | 0300-5860 |
| DOI: | 10.1007/s00392-003-0917-4 |
| Popis: | The implantation of transvenous devices in patients who underwent tricuspid valve replacement represents problems, especially if an epicardial position is not available. The implantation of a "pace-sense" lead via the coronary sinus is a safe and feasible procedure. For experienced surgeons in implantation of biventricular devices, the implantation of leads via the coronary sinus is a routine procedure. Bipolar leads are essential for the correct sensing and pacing of the implantable cardioverter-defibrillator (ICD). In patients who underwent tricuspid valve replacement who have the indication of an ICD implantation postoperatively, the combination of a shock electrode placed in the superior vena cava, a subcutaneous array positioned on the left posterior close to the spine and an active can, placed subpectorally in the left infraclavicular region, is an alternative solution. |
| Databáze: | OpenAIRE |
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