Methods of implantable cardioverter-defibrillator-pacemaker insertion to avoid interactions.

Spotnitz, H M; Ott, G Y; Bigger, J T; Steinberg, J S; Livelli, F · Ann Thorac Surg · 1992

case_series · Level IV

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Abstract

Experience with combined transvenous pacemaker and implantable cardioverter-defibrillator insertion in 21 patients is described. Special techniques are needed to avoid potentially lethal pacemaker-implantable cardioverter-defibrillator interaction. Separation between leads for the two devices should be maximized. The electrophysiologic criteria for successful device function can be met, even when some leads for both devices must be placed by a transvenous approach.

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