Cynthia J. Meierbachtol

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This report describes a case of an active-can ICD placed in the thigh. A 74-year-old man on chronic renal dialysis had no venous access from cephalic, subclavian, or jugular approaches. Using long active-fixation leads the device was placed from a femoral approach with good sensing, pacing, and defibrillation parameters.
BACKGROUND Device placement in women has unique considerations not addressed with standard implant techniques. These may include irritation and discomfort from purse and/or bra straps, changes in body image, and cosmetic issues with visible scars. Submammary device placement (SMI) addresses these problems and may be associated with greater patient comfort,(More)
INTRODUCTION The frequency of device implantation is increasing in younger patients as our ability to diagnose long-QT syndrome, hypertrophic cardiomyopathy, Brugada Syndrome, and other life-threatening disorders earlier has improved. Similarly, use of cardiac resynchronization therapy and ICD therapies has increased in cardiomyopathy patients. METHODS(More)
Venous access for pectoral pacemaker and defibrillator lead placement can be compromised by venous occlusion due to previous pacing leads, access ports for medications such as chemotherapy, dialysis access, and other causes. On rare occasion, a femoral access is utilized for device placement. We report here a patient without venous access to the heart from(More)
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