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Ann Thorac Surg 1987;43:335-336
© 1987 The Society of Thoracic Surgeons

Articles

Technique for Implantation of Phrenic Nerve Electrodes

Lewis Wetstein, M.D.*

From the Division of Thoracic and Cardiac Surgery, Department of Surgery, Medical College of Virginia, Virginia Commonwealth University and the Hunter H. McGuire Veterans Administration Medical Center, Richmond, VA

Accepted for publication May 30, 1986.

* Address reprint requests to Dr. Wetstein, P.O. Box 68, MCV Station, Richmond, VA 23298-0001

Permanent ventilatory support is necessary in patients with upper motor neuron respiratory muscle paralysis and central alveolar hypoventilation. Weaning these patients from chronic ventilation is extremely advantageous. Diaphragm pacing accomplishes this goal. In the past implantation of phrenic nerve electrodes has been undesirable either because the procedure is too extensive or because of the high failure rates. This report describes a simple, expeditious, and uniformly successful technique for bilateral phrenic nerve electrode placement.






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