Daly B D, Cascade P N, Hummel J D, Kalbfleisch S, Strickberger S A, Langberg J, Morady F
Department of Radiology, University of Michigan Hospitals, Ann Arbor.
Radiology. 1994 Apr;191(1):273-8. doi: 10.1148/radiology.191.1.8134587.
To assess chest radiograph configurations in 102 patients following total or partial transvenous and subcutaneous insertion of a non-thoracotomy lead implantable cardioverter defibrillator (NTL-ICD) device.
The four overlapping system types reviewed were the Endotak (49 patients), PCD (32 patients), Res-Q (10 patients), and hybrid combinations of NTL-ICD and surgically inserted pericardial and epicardial automatic implantable cardioverter defibrillator (AICD) devices (15 patients).
Abnormalities were detected on radiographs both at the time of implantation and at early follow-up. NTL-ICD electrodes partially replaced or augmented AICD systems in 11 patients (10.7%) because of sensing lead or defibrillation failure or infection. Defibrillation failure necessitated augmentation of NTL-ICD systems with AICD pericardial patches in four patients (3.9%). Catheter displacement, lead fracture, or pneumothorax was detected in eight patients (7.8%).
Complex radiographic appearances may be seen and important abnormalities may be detected after insertion of these devices.
评估102例经静脉或皮下非开胸植入式心脏复律除颤器（NTL-ICD）装置完全或部分植入后胸部X线片表现。
回顾的四种重叠系统类型为Endotak（49例患者）、PCD（32例患者）、Res-Q（10例患者）以及NTL-ICD与手术植入的心包和心外膜自动植入式心脏复律除颤器（AICD）装置的混合组合（15例患者）。
植入时和早期随访时的X线片均检测到异常。11例患者（10.7%）中，NTL-ICD电极因感知导线、除颤失败或感染而部分替代或增强了AICD系统。4例患者（3.9%）因除颤失败需要用AICD心包补片增强NTL-ICD系统。8例患者（7.8%）检测到导管移位、导线断裂或气胸。
植入这些装置后可能会出现复杂的X线表现，且可能检测到重要异常。
