Heart Rhythm
Volume 6, Issue 7 , Pages 978-983 , July 2009

Transiliac ICD implantation: Defibrillation vector flexibility produces consistent success

  • Chi Keong Ching, MD

      Affiliations

    • Cleveland Clinic, Cleveland, Ohio
    • National Heart Centre Singapore, Singapore
    • ,
  • Claude S. Elayi, MD

      Affiliations

    • Cleveland Clinic, Cleveland, Ohio
    • ,
  • Luigi Di Biase, MD

      Affiliations

    • Cleveland Clinic, Cleveland, Ohio
    • Department of Cardiology, University of Foggia, Foggia, Italy
    • ,
  • Conor D. Barrett, MD

      Affiliations

    • Cleveland Clinic, Cleveland, Ohio
    • ,
  • David O. Martin, MD

      Affiliations

    • Cleveland Clinic, Cleveland, Ohio
    • ,
  • Walid I. Saliba, MD, FHRS

      Affiliations

    • Cleveland Clinic, Cleveland, Ohio
    • ,
  • Oussama Wazni, MD

      Affiliations

    • Cleveland Clinic, Cleveland, Ohio
    • ,
  • Mohamed Kanj, MD

      Affiliations

    • Cleveland Clinic, Cleveland, Ohio
    • ,
  • David J. Burkhardt, MD

      Affiliations

    • Cleveland Clinic, Cleveland, Ohio
    • ,
  • Robert A. Schweikert, MD

      Affiliations

    • Cleveland Clinic, Cleveland, Ohio
    • ,
  • Bruce L. Wilkoff, MD, FHRS

      Affiliations

    • Cleveland Clinic, Cleveland, Ohio
    • Corresponding Author InformationAddress reprint requests and correspondence: Dr. Bruce L. Wilkoff, Cleveland Clinic, 9500 Euclid Avenue J2-2, Cleveland, Ohio 44195

Received 10 January 2009 ,Accepted 18 March 2009.

References 

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  2. Church T, Martinson M, Kallok M, et al. A model to evaluate alternative methods of defibrillation threshold determination. Pacing Clin Electrophysiol. 1988;11:2002–2007
  3. Degroot PJ, Church TR, Mehra R, et al. Derivation of a defibrillator implant criterion based on probability of successful defibrillation. Pacing Clin Electrophysiol. 1997;20:1924–1935
  4. Gold MR, Breiter D, Leman R, et al. Safety of a single successful conversion of ventricular fibrillation before the implantation of cardioverter defibrillators. Pacing Clin Electrophysiol. 2003;26:483–486
  5. Gold MR, Higgins S, Klein R, et al. Efficacy and temporal stability of reduced safety margins for ventricular defibrillation: primary results from the Low Energy Safety Study (LESS). Circulation. 2002;105:2043–2048
  6. Higgins S, Mann D, Calkins H, et al. One conversion of ventricular fibrillation is adequate for implantable cardioverter-defibrillator implant: an analysis from the Low Energy Safety Study (LESS). Heart Rhythm. 2005;2:117–122
  7. McDaniel WC, Schuder JC. The cardiac ventricular defibrillation threshold: inherent limitations in its application and interpretation. Med Instrum. 1987;21:170–176
  8. Monahan K, Casavant D, Rasmussen C, et al. Combined use of a true-bipolar sensing implantable cardioverter defibrillator in a patient having a prior implantable spinal cord stimulator for intractable pain. Pacing Clin Electrophysiol. 1998;21:2669–2672
  9. Rattes MF, Jones DL, Sharma AD, et al. Defibrillation threshold: a simple and quantitative estimate of the ability to defibrillate. Pacing Clin Electrophysiol. 1987;10:70–77
  10. Shorofsky SR, Peters RW, Rashba EJ, et al. Comparison of step-down and binary search algorithms for determination of defibrillation threshold in humans. Pacing Clin Electrophysiol. 2004;27:218–220
  11. Singer I, Lang D. Defibrillation threshold: clinical utility and therapeutic implications. Pacing Clin Electrophysiol. 1992;15:932–949
  12. Erdogan O, Augostini R, Saliba W, et al. Transiliac permanent pacemaker implantation after extraction of infected pectoral pacemaker systems. Am J Cardiol. 1999;84:474–475A479–410
  13. Mainigi SK, Callans DJ. How to manage the patient with a high defibrillation threshold. Heart Rhythm. 2006;3:492–495
  14. Russo AM, Sauer W, Gerstenfeld EP, et al. Defibrillation threshold testing: is it really necessary at the time of implantable cardioverter-defibrillator insertion?. Heart Rhythm. 2005;2:456–461
  15. Kuhlkamp V, Dornberger V, Khalighi K, et al. Effect of a single element subcutaneous array electrode added to a transvenous electrode configuration on the defibrillation field and the defibrillation threshold. Pacing Clin Electrophysiol. 1998;21:2596–2605
  16. Sticherling C, Klingenheben T, Cameron D, et al. Worldwide clinical experience with a down-sized active can implantable cardioverter defibrillator in 162 consecutive patients (Worldwide 7221 ICD Investigators). Pacing Clin Electrophysiol. 1998;21:1778–1783
  17. Wathen MS, DeGroot PJ, Sweeney MO, et al. Prospective randomized multicenter trial of empirical antitachycardia pacing versus shocks for spontaneous rapid ventricular tachycardia in patients with implantable cardioverter-defibrillators: Pacing Fast Ventricular Tachycardia Reduces Shock Therapies (PainFREE Rx II) trial results. Circulation. 2004;110:2591–2596
  18. Tokano T, Bach D, Chang J, et al. Effect of ventricular shock strength on cardiac hemodynamics. J Cardiovasc Electrophysiol. 1998;9:791–797
  19. Spotnitz HM. Does ventricular fibrillation cause myocardial stunning during defibrillator implantation?. J Card Surg. 1993;8(Suppl 2):249–256

 Bruce L. Wilkoff reports grant/research support from Guidant, Medtronic and St. Jude Medical. He is Consultant for Guidant, Medtronic, St. Jude Medical, Spectranetics and Cook Vascular. David O. Martin, speaker for St. Jude Medical, member advisory board for Medtronic, consultant for Boston Scientific. Oussama M. Wazni, speaker/consultant for Boston Scientific, Spectranetics, St Jude Medical. J. David Burkhardt, speaker for St Jude Medical, Biosense Webster and chief medical officer for Stereotaxis. Robert A. Schweikert, consultant for Biosense Webster, speaker for Medtronic, St Jude Medical, Boston Scientific, Biosense Webster and Reliant Pharmaceuticals, Walid I, Saliba, speaker for Biosense Webster, Medtronic, Boston Scientific and St Jude Medical. The other authors have no disclosures or conflict of interest.

PII: S1547-5271(09)00331-2

doi: 10.1016/j.hrthm.2009.03.031

Heart Rhythm
Volume 6, Issue 7 , Pages 978-983 , July 2009

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