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Ann Thorac Surg 1997;64:1177-1179
© 1997 The Society of Thoracic Surgeons

Case Report

Single-Incision and Single-Element Array Electrode to Lower the Defibrillation Threshold

Volker Kühlkamp, MD, Kourosh Khalighi, MD, Volker Dörnberger, MD, Gerhard Ziemer, MD

Medical Department III and Department of Cardiothoracic Surgery, Eberhard-Karls-University, Tübigen, Germany

Accepted for publication May 28, 1997.

Occasional patients have excessive defibrillation energy requirements despite appropriate transvenous defibrillation lead position and the use of biphasic shocks. A single-element subcutaneous array electrode was implanted in 2 patients with a high defibrillation threshold. The array electrode was implanted through the same infraclavicular incision that was used for implantation of the transvenous lead. The defibrillation threshold decreased from 30 J to 15 J and from 24 J to 9 J with the subcutaneous array electrode.






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Copyright © 1997 by The Society of Thoracic Surgeons.