INTRACARDIAC EMERGENCY DEFIBRILLATION FOR REFRACTORY VENTRICULAR-FIBRILLATION DURING IMPLANTATION OF CARDIOVERTER DEFIBRILLATORS WITH NONTHORACOTOMY LEAD SYSTEMS

被引:2
作者
PITSCHNER, HF
NEUZNER, J
机构
[1] Department of Cardiology, Kerckhoff-Klinik of the Max-Planck-Society, Bad Nauheim
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 1993年 / 16卷 / 02期
关键词
CARDIOVERTER DEFIBRILLATOR WITH NONTHORACOTOMY LEAD SYSTEMS; REFRACTORY VENTRICULAR FIBRILLATION; EMERGENCY OPEN CHEST RESUSCITATION; ENDOCARDIAL EXTRATHORACIC DEFIBRILLATION;
D O I
10.1111/j.1540-8159.1993.tb01579.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Implantable cardioverter defibrillators (ICDs) are being implanted in increasing numbers. At intraoperative defibrillation threshold tests refractory ventricular fibrillation (VF) requiring emergency open chest resuscitation is a major concern during implantation of nonthoracotomy ICD lead systems. A new method of high energy endocardial/extrathoracic defibrillation via the implanted ICD transvenous defibrillation electrode (TDE) was used to terminate refractory VF. During implantation of ICD with TDE in 20 patients refractory VF occurred in two patients. The arrhythmia was terminated with endocardial/extrathoracic defibrillation in both cases, and no complications were observed.
引用
收藏
页码:291 / 296
页数:6
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