Thorac Cardiovasc Surg 2004; 52(4): 249-251
DOI: 10.1055/s-2004-817810
Special Report

© Georg Thieme Verlag KG Stuttgart · New York

ICD Implantation - Between Necessity and Tragedy

C. Schmid1 , M. Rothenburger1 , A. Rukosujew1 , H. H. Scheld1
  • 1Klinik und Poliklinik für Thorax-, Herz- und Gefäßchirurgie, Universitätsklinikum Münster, Münster, Germany
Further Information

Publication History

Received: January 5, 2004

Publication Date:
04 August 2004 (online)

Abstract

We report on a 42-year-old patient with known dilative cardiomyopathy who underwent placement of a multiple transvenous pacemaker and ICD electrodes, and required removal of all leads via median sternotomy, followed by placement of epicardial electrodes. This experience has led us to question the necessity of the current implantation policies for these systems.

References

  • 1 Reynolds M R, Josephson M E. MADIT II (second Multicenter Automated Defibrillator Implantation Trial) debate: risk stratification, costs, and public policy.  Circulation. 2003;  108 1779-1783
  • 2 Hammel D, Block M, Geiger A. et al . Single-incision implantation of cardioverter defibrillators using nonthoracotomy lead systems.  Ann Thorac Surg. 1994;  58 1614-1616
  • 3 Hohenloser S H, Andresen D, Block M. et al, Kommission für Klinische Kardiologie . Leitlinien zur Implantation von Defibrillatoren.  Z Kardiol. 2000;  89 126-135
  • 4 Smith P N, Vidaillet H J, Hayes J J. et al . Infections with nonthoracotomy implantable cardioverter defibrillators: can these be prevented? Endotak Lead Clinical Investigators.  Pacing Clin Electrophysiol. 1998;  21 42-55
  • 5 Kar A K, Ghosh S, Majumdar A, Mondal M, Dutta I. Venous obstruction after permanent pacing.  Indian Heart J. 2000;  52 431-433
  • 6 Spittell P C, Hayes D L. Venous complications after insertion of a transvenous pacemaker.  Mayo Clin Proc. 1992;  67 258-265
  • 7 Wilhelm M J, Schmid C, Hammel D. et al . Cardiac pacemaker infection: surgical management with and without extracorporeal circulation.  Ann Thorac Surg. 1997;  64 1707-1712
  • 8 Deisenhofer I, Kolb C, Ndrepepa G. et al . Do current dual chamber cardioverter defibrillators have advantages over conventional single chamber cardioverter defibrillators in reducing inappropriate therapies? A randomized, prospective study.  J Cardiovasc Electrophysiol. 2001;  12 134-142
  • 9 Gradaus R, Lamp B, Hammel D. et al . Multiple hardware complications in a patient with an ICD.  Europace. 1999;  1 270-274

Prof. Dr. med. Christof Schmid

Klinik und Poliklinik für Thorax-, Herz- und Gefäßchirurgie
Universitätsklinikum

Albert-Schweitzer-Straße 33

48149 Münster

Germany

Phone: + 4902518357412

Fax: + 49 0 25 18 34 83 16

Email: schmid@uni-muenster.de

    >