Clinical experience with non-thoracotomy pacer-cardioverter-defibrillator implantation

S. Favale, M. V. Pitzalis, P. Totaro, P. Tunzi, G. Mannatrizio, M. Di Biase, T. Fiore, P. Rizzon

Research output: Contribution to journalArticlepeer-review


In 6 patients with malignant ventricular arrhythmias we have tried to implant a non-thoracotomy system in combination with Medtronic Pacer-Cardioverter-Defibrillator. In 5 pts the implantation criteria were met (84%). In testing multiple lead configurations (including coronary sinus location) and polarities the DFT was 15 J in 3 cases and 10 J in 2 cases. No complications were observed during the peri- and post-operative period. Predischarge testing confirmed the efficacy of such devices in terminating induced ventricular tachyarrhythmias. During follow-up (mean 3 ± 2.5 months) one spontaneous high rate sustained VT was correctly terminated. The high success rate in reaching low DFT and the absence of complications encourage the implanting of a non-thoracotomy lead system as a standard approach in device therapy for ventricular tachyarrhythmias.

Original languageEnglish
Pages (from-to)245-248
Number of pages4
JournalNew Trends in Arrhythmias
Issue number1-2
Publication statusPublished - 1992

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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