Novel Technique for Implantation of a Cardioverter Defibrillator in Children Tomomitsu Kanaya, MD, Kyoichi Nishigaki, PhD, Kazuhiko Ishimaru, PhD, Kanta.

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Presentation transcript:

Novel Technique for Implantation of a Cardioverter Defibrillator in Children Tomomitsu Kanaya, MD, Kyoichi Nishigaki, PhD, Kazuhiko Ishimaru, PhD, Kanta Araki, MD, Eiji Ehara, MD, Yoko Yoshida, MD, Yoshihide Nakamura, MD, Yosuke Murakami, MD, Tsugutoshi Suzuki, MD The Annals of Thoracic Surgery Volume 97, Issue 6, Pages e171-e173 (June 2014) DOI: 10.1016/j.athoracsur.2014.02.052 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The schema of the shock dual-coil lead for implantable cardioverter defibrillator implantation in our new technique. (A) The right ventricular coil was passed through the transverse sinus first. (B) The right ventricular coil was introduced via a purse-string suture in the right atrial appendage, then screwed in the right ventricular apex. (C) For future growth, the lead in the right atrium and the lead from the right atrial appendage to the secured TS coil was left 1 loop at the front of the right atrium. The Annals of Thoracic Surgery 2014 97, e171-e173DOI: (10.1016/j.athoracsur.2014.02.052) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) The endocardial electrode implanted into the right ventricular apex through the right atrial appendage through transverse sinus and (B) the implantable cardioverter defibrillator device placed in the intraperitoneal space. The Annals of Thoracic Surgery 2014 97, e171-e173DOI: (10.1016/j.athoracsur.2014.02.052) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions