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Ann Thorac Surg 1992;53:253-257
© 1992 The Society of Thoracic Surgeons

Articles

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

Henry M. Spotnitz, MD*, Gary Y. Ott, MD1, J.Thomas Bigger, Jr, MD2, Jonathan S. Steinberg, MD, Frank Livelli, Jr, MD

Departments of Surgery and Medicine, Columbia-Presbyterian Medical Center, New York, New York, USA

Accepted for publication August 1, 1991.

* Address reprint requests to Dr Spotnitz, Columbia-Presbyterian Medical Center, 630 West 168th St, New York, NY 10032.

Experience with combined transvenous pacemake and implanable 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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