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[Complications in transvenous and transvenous-subcutaneous implantable defibrillator systems]. / Komplikationen bei transvenös bzw. transvenös-subkutan implantierbaren Defibrillatorsystemen.
Podczeck, A; Hief, C; Veit, F; Jakl, G; Kaltenbrunner, W; Nürnberg, M; Frohner, K; Steinbach, K.
Afiliação
  • Podczeck A; Ludwig-Boltzmann-Institut für Arrhythmieforschung, 3. Medizinische Abteilung, Wilhelminenspital.
Z Kardiol ; 83(5): 366-72, 1994 May.
Article em De | MEDLINE | ID: mdl-8053246
Due to technical improvement using the transvenous-subcutaneous approach for lead fixation for cardioverter-defibrillator implantation, the incidence of device implantation has extended enormously. While a significant lower perioperative mortality in transvenously implanted systems compared to epicardially fixed implantable cardioverter-defibrillator (ICD) has been proven, perioperative as well as complications during follow-up are not analyzed systematically. In 59 patients, in whom transvenous-subcutaneous ICDs had been implanted, 3 patients showed bleeding complications in the subcutaneous patch area, 1 patient showed a bleeding in the device pocket, and in 1 patient a seroma in the subcutaneous patch region was observed necessitating surgical revisions. During follow-up of 10 +/- 7 months, lead dislocations were observed in 6 patients, in another 6 patients patch crinkling was observed. There was 1 patient with a lead fracture as well as 1 patient with a bleeding in the subcutaneous patch region. Despite the high efficacy of this therapy used in patients with life-threatening ventricular arrhythmias, these potential complications have to be considered.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fibrilação Ventricular / Taquicardia Ventricular / Desfibriladores Implantáveis Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: De Revista: Z Kardiol Ano de publicação: 1994 Tipo de documento: Article País de publicação: Alemanha
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fibrilação Ventricular / Taquicardia Ventricular / Desfibriladores Implantáveis Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: De Revista: Z Kardiol Ano de publicação: 1994 Tipo de documento: Article País de publicação: Alemanha