As a leading researcher in ICD therapy, Dr. Higgins has participated in over 1,000 such procedures. He was recently one of the principal investigators in the Multicenter Automated Defibrillator Implantation Trial (MADIT), a blind test in which ICD therapy was associated with a 56% reduction in two–year mortality versus those treated
with conventional medical therapy.
More detailed and case management oriented than any proprietary ICD manufacturer ′in–house′ video, The Implantable Cardioverter Defibrillator: A Videotape and Manual is a superb training tool from a world–class expert and ICD pioneer.
Arthur J. Moss, MD.
1. An Introduction to ICDs.
Who Should Implant ICDs?.
An Introduction to the Video.
2. Patient Selection; Site Selection.
Risk Factors for ICD Surgery.
Risks of ICD Surgery.
ICD Site Selection.
Preparation of the Patient.
3. The Logistics of ICD Insertion.
Setting Up an ICD Operating Room.
Staffing for ICD Surgery: Physicians and Support Personnel.
Surgical Support and Consultation.
Anesthesia: Agents and Who Should Administer Them.
4. Venous Access and Lead Positioning.
The Subclavian Venipuncture Technique.
The Cephalic Vein Cutdown Technique.
5. ICD Lead Positioning and Testing.
ICD Lead Advancement.
Optimal Lead Placement: The Endotak–DSP Study.
6. The Subcutaneous Pectoral Approach.
Advantages of the Subcutaneous Approach.
Disadvantages of Subcutaneous Pectoral Approach.
General Surgical Issues.
7. Submuscular Pectoral Approach.
Anatomy of the Subpectoral Region.
Lateral (Anterior Axillary) Approach.
8. Abdominal Generator Techniques.
Anatomy of the Abdominal Wall Region.
Subcutaneous Abdominal ICD Insertion.
Submuscular Abdominal ICD Insertion.
General Surgical Principles for Abdominal ICD Placement.
Techniques for ICD Lead Tunneling.
9. Generator Change Procedures.
Lead Evaluation and Repair.
10. Dressing Care and Postprocedure Management.
Immediate Postprocedure Care.
Postoperative Patient Education.
ICD Support Groups.
11. Management of Complications.
Problems Encountered at Implant.
Problems Encountered in the Immediate Postimplant Period.
Chronic Lead and Device Complications