The Thoracic and Cardiovascular Surgeon, Table of Contents Thorac Cardiovasc Surg 2004; 52(4): 249-251DOI: 10.1055/s-2004-817810 Special Report © Georg Thieme Verlag KG Stuttgart · New YorkICD Implantation - Between Necessity and TragedyC. Schmid1 , M. Rothenburger1 , A. Rukosujew1 , H. H. Scheld1 1Klinik und Poliklinik für Thorax-, Herz- und Gefäßchirurgie, Universitätsklinikum Münster, Münster, Germany Recommend Article Abstract Buy Article All articles of this category 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. Key words ICD - pace maker - endovascular electrode Full Text References 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 GefäßchirurgieUniversitätsklinikum Albert-Schweitzer-Straße 33 48149 Münster Germany Phone: + 4902518357412 Fax: + 49 0 25 18 34 83 16 Email: schmid@uni-muenster.de
