An Extrapericardial Minimally Invasive Approach for Implantable Cardioverter Defibrillator

Abstract

The indications for placement of an implantable cardioverter defibrillators (ICDs) have greatly expanded over the last years. However, standard transvenous approach is not suitable for a subset of patients who cannot benefit from ICD therapy. Here, we have demonstrated the feasibility and efficacy of extrapericardial ICD placement through a minimally invasive access in intact hearts as well as in postmyocardial infarction large animal models. Based on our data, we conclude that extrapericardial ICD placement is a feasible approach that may be a valuable alternative or adjunct to current defibrillator lead systems.

Keywords

implantable cardioverter defibrillator - extrapericardial approach - large animal model

Note

Presented at the 9th Annual Meeting on Arrhythmia and Cardiac Surgery, Brisbane, Australia, July 14–15, 2016.

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