Transvenous and subcutaneous implantable cardioverter defibrillators: radiographic assessment
| Autor: | F Morady, P N Cascade, S A Strickberger, B D Daly, J Langberg, S Kalbfleisch, J D Hummel |
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| Rok vydání: | 1994 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Defibrillation medicine.medical_treatment Radiography medicine.disease Implantable cardioverter-defibrillator Defibrillators Implantable Surgery Catheter Equipment failure Pneumothorax medicine Humans Equipment Failure Radiography Thoracic Radiology Nuclear Medicine and imaging Lead (electronics) Chest radiograph business |
| Zdroj: | Radiology. 191:273-278 |
| ISSN: | 1527-1315 0033-8419 |
| Popis: | To assess chest radiograph configurations in 102 patients following total or partial transvenous and subcutaneous insertion of a non-thoracotomy lead implantable cardioverter defibrillator (NTL-ICD) device.The four overlapping system types reviewed were the Endotak (49 patients), PCD (32 patients), Res-Q (10 patients), and hybrid combinations of NTL-ICD and surgically inserted pericardial and epicardial automatic implantable cardioverter defibrillator (AICD) devices (15 patients).Abnormalities were detected on radiographs both at the time of implantation and at early follow-up. NTL-ICD electrodes partially replaced or augmented AICD systems in 11 patients (10.7%) because of sensing lead or defibrillation failure or infection. Defibrillation failure necessitated augmentation of NTL-ICD systems with AICD pericardial patches in four patients (3.9%). Catheter displacement, lead fracture, or pneumothorax was detected in eight patients (7.8%).Complex radiographic appearances may be seen and important abnormalities may be detected after insertion of these devices. |
| Databáze: | OpenAIRE |
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