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The Annals of Thoracic Surgery, Vol 53, 253-257, Copyright © 1992 by The Society of Thoracic Surgeons

ARTICLES

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

HM Spotnitz, GY Ott, JT Bigger Jr, JS Steinberg and F Livelli Jr
Department of Surgery, Columbia-Presbyterian Medical Center, New York, New York 10032.

Experience with combined transvenous pacemaker and implantable 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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