Defibrillation threshold and electrode configurations, an experimental study testing three configurations in twelve pigs

Journal of Cardiovascular Surgery

Volumn 38, Issue 5, 1997, Pages 495-499

  Obadia, J F ^b,e   Janier, M ^d   Chevalier, P ^a   Bazillais, O ^b   Chassignolle, J F ^b   Kirkorian, G ^c   Touboul, P ^c  

^a LOUIS PRADEL HOSPITAL   (France)

^b Thoracic and Cardiovascular Surgery   (France)

^c Cardiology Department   (France)

^d CERMEP IMAGERIE DU VIVANT   (France)

^e Hop Cardiologique Louis Pradel   (France)

Author keywords

Cardioverter defibillator, implantable; Defibrillation threshold; Patch test, subcutaneous; Research study

Indexed keywords

ANIMAL EXPERIMENT; ARTICLE; DEFIBRILLATION; ELECTRIC BATTERY; ELECTRODE; ELECTROSTIMULATION; ENDOCARDIUM; EPICARDIUM; HEART VENTRICLE FIBRILLATION; IMPLANT; NONHUMAN; STATISTICAL ANALYSIS; SUBCUTANEOUS TISSUE; SWINE;

ANIMALS; CARDIAC PACING, ARTIFICIAL; DEFIBRILLATORS, IMPLANTABLE; ELECTRODES, IMPLANTED; SWINE; VENTRICULAR FIBRILLATION;

EID: 0030732880     PISSN: 00219509     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (21)

1. Manolis AS. Transvenous endocardial cardioverter defibrillator systems: Is the future here. Arch Intern Med 1994;154:617-22.
2. Hammel D, Block M, Konertz W. Surgical experience with defibrillator implantation using nonthoracotomy leads. Ann Thorac Surg 1993;55:685-93.
3. Obadia JF, Rescigno G, Kirkorian G, Chassignolle JF, Touboul P. AICD: Subdiaphragmatic implantation of the generator. Ann Thorac Surg 1995;59:239-42.
4. Jordeans L, Vertongen P, Van Belleghem Y. A Subcutaneous Lead Array for implantable Cardioverter defibrillator. Pace 1993;16:1429-33.
5. Gill RM, Sweeney RJ, Reid PR. The defibrilation thresholds: comparison of anaesthetics and measurement methods. Pace 1993;16:708-14.
6. Kroll MW, Anderson KM, Supino CG, Adams TP. Decline in defibrillation thresholds. Pace 1993;16:213-7.
7. Kim YH, Jones DL, Natale A, Klein GJ. Ethanol increases defibrillation thresholds in pigs. Pace 1993;16:19-25.
8. Jones DL, Klein GJ, Kallok MJ. Improved internal defibrillation with twin pulse sequential energy delivery to different lead orientations in pigs. Am J Cardiol 1985;55:821-5.
9. Gold IH, Schuder JC, Stoeckle H. Ventricular defibrillation with myocardial electrodes in the dog, calf, pony and pig. Med Instrum 1980;14:19-22.
10. Troup PJ, Chapman PD, Olinger GN, Olinger GN, Kleinman LH. The implantable defibrillator: Relation of defibrillating lead configuraton and clinical variables to defibrillation threshold. J Am Coll Cardiol 1985;6:1315-21.
11. Zippes DP, Fischer J, King RM, Nicoll AB, Jolly WW. Termination of ventricular fibrillation in dogs by depolarizing a critical amount of myocardium. Am J Cardiol 1975;36:37-44.
12. Saksena S, DeGroot P, krol RB, Raju R, Mathew P, Mehra R. Low-energy Endocardial Defibrillatin using an axillary or a pectoral thoracic Electrode location. Circulation 1993;88:2655-60.
13. Flaker GC, Schuder JC, McDaniel WC, Stoeckle H, Dbeis M. Superiority of biphasic shocks in the defibrillation of dogs by epicardial patches and catheter electrodes. Am Heart J 1989; 118:288-91.
14. Block M, Hammel D, Isbruch F. Biphasic shock waveforms improve the success rate of transvenous-subcutaneous implantations of defibrillation electrodes. Eur JCPE 1992;2:408-9.
15. Mosteller RD, Lehmann MH, Thomas AC, Jackson K. Operative mortality with implantation of the automatic cardioverter-defibrillator. Am J Cardiol 1991;68:1340-5.
16. Katkins L, Mirowski M, Mower MM. Automatic defibrillation in man: The initial surgical experience. J Thorac Cardiovasc Surg 1981;82:492-500.
17. Kim SG. Implantable defibrillator therapy: Does it really prolong life? How can we prove it? Am J Cardiol 1993;71:1213-7.
18. Kim SG, Fischer JD, Furman S. Hypothetical death rates of patients with implantable defibrillators remain very hylothetical. Am J Cardiol 1993;72:1453-4.
19. Hauser RG, Kurschinski, Mc Veigh K, Thomas A, Mower WW. Clinical results with nonthoracotomy ICD systems. Pace 1993;16:141-8.
20. Brooks R, Torchiana D, Vlahakes GJ, Ruskin JN, Govern BA, Garan H. Successful implantation of cardioverter-defibrillator systems in patients with elevated defibrillation thresholds. J Am Coll Cardiol 1993;22:569-74.
21. Obadia JF, Kirkorian G, El Farra M, Chassignolle JF, Touboul P. Thoracic Approach to ICD Patch Electrode Implantation. Pace 1995, in press.