Journal article
Clinical experience with nonthoracotomy cardioverter defibrillators
The Annals of thoracic surgery, v 59(5), pp 1092-1099
01 May 1995
PMID: 7733703
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
A new generation of defibrillators has been introduced that do not require a thoracotomy. The purpose of this report was to examine 100 consecutive nonthoracotomy implantations at our institution and compare them with a series of 102 patients undergoing thoracotomy implantations by the same surgeon over a 4-year period between August 1989 and September 1994. The two groups were comparable for age, sex, comorbidity, cardiac disease status, ejection fraction, and electrophysiologic presentation. Nonthoracotomy systems were implanted successfully in 94% of patients. Patients undergoing a nonthoracotomy implantation had significantly shorter intensive care unit (1.7 ± 1.7 versus 3.3 ± 3.9 days;
p < 0.005) and postoperative stays (5.0 ± 2.8 versus 9.5 ± 5.6 days;
p < 0.001) than patients undergoing a thoracotomy approach. This was due to a significant decrease in the incidence of postoperative complications from 29% in the thoracotomy group to 11% in the nonthoracotomy group (
p < 0.001). There was no significant difference in overall mortality rates. Nonthoracotomy systems are implantable in the majority of patients and are associated with less morbidity and shorter hospital stays than traditional thoracotomy approaches.
Metrics
Details
- Title
- Clinical experience with nonthoracotomy cardioverter defibrillators
- Creators
- Jennifer S. Lawton - Hunter Holmes McGuire VA Medical CenterKenneth A. Ellenbogen - Hunter Holmes McGuire VA Medical CenterMark A. Wood - Hunter Holmes McGuire VA Medical CenterBruce S. Stambler - Hunter Holmes McGuire VA Medical CenterJohn A. Spratt - Hunter Holmes McGuire VA Medical CenterAndrew S. Wechsler - Hunter Holmes McGuire VA Medical CenterRalph J. Damiano - Virginia Commonwealth University Medical Center
- Publication Details
- The Annals of thoracic surgery, v 59(5), pp 1092-1099
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine; [Retired Faculty]
- Web of Science ID
- WOS:A1995QW01400008
- Scopus ID
- 2-s2.0-0028927081
- Other Identifier
- 991020705452204721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Cardiac & Cardiovascular Systems
- Respiratory System
- Surgery