Simple approach for extrapericardial placement of defibrillator patches via median sternotomy.

Vyhmeister, E E; Razzouk, A J; Van Arsdell, G S; Torres, V I; Gundry, S R; Bailey, L L · Ann Thorac Surg · 1994

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Abstract

The intrapericardial placement of implantable cardioverter defibrillator patches has been associated with a variety of complications due to the patch-epicardial interface. Extrapericardial placement of defibrillator patches minimizes these problems. We describe a simple and reproducible technique to achieve this goal whenever a median sternotomy approach is used.

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