Published in:
01-03-2009 | original article
Infection after ICD implantation: operating room versus cardiac catheterisation laboratory
Authors:
H. H. F. Remmelts, M. Meine, P. Loh, R. N. W. Hauer, P. A. Doevendans, L. A. van Herwerden, T. E. M. Hopmans, P. M. Ellerbroek
Published in:
Netherlands Heart Journal
|
Issue 3/2009
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Extract
The implantable cardioverter-defibrillator (ICD) has evolved into an important treatment modality in the primary and secondary prevention of sudden cardiac death. An ICD system comprises a pulse generator and one or more leads for pacing and defibrillation electrodes (ICD with single, dual, or triple chamber pacing).
1 The first-generation devices required an abdominal pocket for the pulse generator and insertion of an epicardial lead system by means of thoracotomy.
1 The epicardial lead system was later replaced by a transvenous non-thoracotomy lead system in the subclavian or cephalic veins while preserving abdominal pulse generators. Technological advances have made a gradual reduction in the size of the pulse generator possible, thereby permitting superficial implantation of the pulse generator in the anterior chest wall.
1 This technique resembles pacemaker (PM) implantation. …