COMPARISON OF RIGHT-SIDED AND LEFT-SIDED PECTORAL IMPLANTATION PARAMETERS WITH THE JEWEL ACTIVE CAN CARDIODEFIBRILLATOR

Citation
Gc. Flaker et al., COMPARISON OF RIGHT-SIDED AND LEFT-SIDED PECTORAL IMPLANTATION PARAMETERS WITH THE JEWEL ACTIVE CAN CARDIODEFIBRILLATOR, PACE, 21(2), 1998, pp. 447-451
Citations number
11
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Cardiac & Cardiovascular System","Engineering, Biomedical
Journal title
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY
ISSN journal
0147-8389 → ACNP
Volume
21
Issue
2
Year of publication
1998
Pages
447 - 451
Database
ISI
SICI code
0147-8389(1998)21:2<447:CORALP>2.0.ZU;2-H
Abstract
A total of 1,207 patients received a Medtronic Jewel active can ICD (m odels 7218C, 7219C), with a Transvene lead in 97 centers in Europe and North America. Nineteen implants were from the right pectoral region. Patients with right-sided ICDs did not differ in terms of mean age, % male, left ventricular ejection fraction, New York Heart Association Functional Class, antiarrhythmic drug therapy, indication for the impl antable cardioverter defibrillator, and R wave values at implantation, but tended to have slightly higher pacing thresholds (1.2 +/- 0.5 V v s 1.0 +/- 0.6 V, P = 0.012) and higher defibrillation thresholds (14.7 +/- 6.4 J vs 11.5 +/- 6 J, P = 0.11) compared with patients with left sided implants. Patients with right-sided implants had a longer impla ntation time compared with patients with left-sided implants (118 +/- 70 minutes vs 91 +/- 46 minutes, P = 0.074). In follow-up, 5 patients with right-sided implantation received successful therapy for either v entricular fibrillation, (8 episodes) or ventricular tachycardia (5 ep isodes). No ineffective therapy from the device was delivered in any p atients with right-sided implantation. Right-sided pectoral implants a re feasible with the Medtronic Jewel active can ICD.