Jensen S M, Pietersen A, Chen X
Department of Medicine B, Rigshospitalet, University of Copenhagen, Denmark.
Pacing Clin Electrophysiol. 1998 Feb;21(2):476-7. doi: 10.1111/j.1540-8159.1998.tb00078.x.
Routinely the active can ICD is placed in the left side pectoral position, which theoretically gives optimal conditions for a low defibrillation threshold. Some patients, however, demand a right pectoral position, which possibly could result in a higher defibrillation threshold. A right pectoral position was used in 3 of 85 active can ICDs implanted in our institution from 1994. The DFT was 12 J in two and 18 J in one patient. Thus, right pectoral implantation is feasible and offers an alternative approach in selected patients.
通常情况下，主动式除颤器植入于左侧胸壁位置，理论上这样能为低除颤阈值提供最佳条件。然而，一些患者要求将其植入右侧胸壁位置，这可能会导致更高的除颤阈值。1994年以来，在我们机构植入的85台主动式除颤器中，有3台采用了右侧胸壁位置。其中两名患者的除颤阈值为12焦耳，一名患者为18焦耳。因此，右侧胸壁植入是可行的，并且为特定患者提供了一种替代方法。
