Thorac Cardiovasc Surg 2014; 62(01): 070-072
DOI: 10.1055/s-0032-1331040
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Georg Thieme Verlag KG Stuttgart · New York

Completely Epicardial Implantation of a Cardiac Resynchronization Therapy Defibrillator Using a Minimal Invasive Approach

Christoph Thomas Starck
1   Clinic of Cardiac and Vascular Surgery, University Hospital Zurich, Zurich, Switzerland
,
Kurt Mayer
2   Department of Cardiology, Cantonal Hospital Grisons, Chur, Switzerland
,
David Hürlimann
3   Clinic of Cardiology, University Hospital Zurich, Zurich, Switzerland
,
Jan Steffel
3   Clinic of Cardiology, University Hospital Zurich, Zurich, Switzerland
,
Volkmar Falk
1   Clinic of Cardiac and Vascular Surgery, University Hospital Zurich, Zurich, Switzerland
› Author Affiliations
Further Information

Publication History

11 July 2012

14 August 2012

Publication Date:
06 December 2012 (online)

Abstract

We report the case of a successful completely epicardial implantation of a cardiac resynchronization defibrillator using a minimal invasive approach in a 55-year-old patient with dilated cardiomyopathy and a history of three cardiac surgical procedures of the aortic root, the ascending aorta and the aortic arch. Due to a chronic Q fever the patient was regarded unsuitable for a transvenous implantation.

 
  • References

  • 1 Hsia TY, Bradley SM, LaPage MJ , et al. Novel minimally invasive, intrapericardial implantable cardioverter defibrillator coil system: a useful approach to arrhythmia therapy in children. Ann Thorac Surg 2009; 87 (4) 1234-1238 , discussion 1238–1239
  • 2 Perzanowski C, Timothy P, McAfee M, McDaniel M, Meyer D, Torres V. Implantation of implantable cardioverter-defibrillators from an ileofemoral approach. J Interv Card Electrophysiol 2004; 11 (2) 155-159
  • 3 Jaroszewski DE, Altemose GT, Scott LR , et al. Nontraditional surgical approaches for implantation of pacemaker and cardioverter defibrillator systems in patients with limited venous access. Ann Thorac Surg 2009; 88 (1) 112-116
  • 4 Tomaske M, Prêtre R, Rahn M, Bauersfeld U. Epicardial and pleural lead ICD systems in children and adolescents maintain functionality over 5 years. Europace 2008; 10 (10) 1152-1156
  • 5 Jourdier L, Swinburn J, Roberts D, Clague J. Implantation of a biventricular implantable cardioverter defibrillator via the femoral vein. Pacing Clin Electrophysiol 2007; 30 (4) 571-572
  • 6 Shandling A, Donohue D, Tobias S, Wu I, Brar R. Use of an active-fixation coronary sinus lead to implant a biventricular pacemaker via the femoral vein. Tex Heart Inst J 2010; 37 (1) 92-94