Implantation of Automatic Cardioverter‐Defibrillators Via Median Sternotomy

RICHARD BRODMAN, JOHN D. FISHER, SEYMOUR FURMAN, DEBRA R. JOHNSTON, SOO G. KIM, JEFFREY A. MATOS, LAWRENCE E. WASPE

Research output: Contribution to journalArticle

31 Scopus citations

Abstract

15 AICD (automatic implantable cardioverter‐defibrillator) Model B units were implanted in 10 patients. The median sternotomy is our preferred surgical approach using a right atrial patch electrode, a left ventricular apex patch electrode, and two closely placed epicardial sensing electrodes. Follow‐up is 109 patient months and all patients are alive. AICD units discharged for ventricular tachycardia, ventricular flutter, and ventricular fibrillation. Discharges also occurred for sinus tachycardia and atrial fibrillation above the rate limit in three units. Premature pulse generator depletion has occurred in four AICD‐B units 3 to 18 months postimplant and appears due to a defect in original battery design. Discharge of the AICD for supraventricular tachycardia is a problem that will remain until a better means of differentiating supraventricular tachycardia from ventricular tachyarrhythmias is found. The AICD appears to prevent sudden death from ventricular tachyarrhythmias.

Original languageEnglish (US)
Pages (from-to)1363-1369
Number of pages7
JournalPacing and Clinical Electrophysiology
Volume7
Issue number6
DOIs
StatePublished - Nov 1984

Keywords

  • automatic implantable cardioverter‐defibrillator

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    BRODMAN, RICHARD., FISHER, JOHN. D., FURMAN, SEYMOUR., JOHNSTON, DEBRA. R., KIM, SOO. G., MATOS, JEFFREY. A., & WASPE, LAWRENCE. E. (1984). Implantation of Automatic Cardioverter‐Defibrillators Via Median Sternotomy. Pacing and Clinical Electrophysiology, 7(6), 1363-1369. https://doi.org/10.1111/j.1540-8159.1984.tb05709.x