Ultrasound-guided serratus anterior plane block combined with the two-incision technique for subcutaneous ICD implantation

Pacing and Clinical Electrophysiology : PACE
Andrea DroghettiMassimiliano Marini

Abstract

The standard technique for implanting a subcutaneous implantable cardioverter defibrillator (S-ICD) requires three incisions and the pocket of the device is created in the subcutaneous tissue of the left lateral thoracic wall. However, a two-incision technique may be adopted, in which the cranial parasternal region is avoided and the device is positioned more deeply, completely under the latissimus dorsi muscle. This can also be combined with ultrasound-guided serratus anterior plane block (US-SAPB) for intraoperative anesthesia and perioperative analgesia. We describe our preliminary experience of US-SAPB combined with the two-incision intermuscular technique. We performed US-SAPB 40 minutes before starting the procedure, while the patient was in the supine position. The devices were implanted under the latissimus dorsi muscle. All patients were followed-up after hospital discharge. Twelve patients (male 50%, 53 ± 16 years, body mass index 23 ± 4) underwent the S-ICD implantation with the combined technique. The mean procedure duration was 47 ± 11 minutes. The procedure was successful and a shock energy of 65 J was successful in converting the induced ventricular fibrillation in all patients. The US-SAPB was successful in 92% ...Continue Reading

References

Feb 16, 2006·JAMA : the Journal of the American Medical Association·Zachary Goldberger, Rachel Lampert
Jun 20, 2006·Journal of the American College of Cardiology·Matthew R ReynoldsApril W Simon
Jul 1, 2008·Journal of Shoulder and Elbow Surgery·Junichiro HamadaTomoyuki Mochizuki
Jun 16, 2009·Journal of Bodywork and Movement Therapies·Antonio SteccoRaffaele De Caro
Feb 23, 2010·Journal of the American College of Cardiology·Douglas S LeeUNKNOWN Investigators of the Ontario ICD Database
Jul 25, 2012·Anesthesia Progress·Daniel E Becker, Kenneth L Reed
May 28, 2013·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Reinoud E KnopsArthur A M Wilde
Oct 2, 2014·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·M GuentherM Knaut
Sep 2, 2015·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Reinoud E KnopsUNKNOWN IDE and EFFORTLESS investigators
Oct 21, 2015·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Philippe RichebéVéronique Brulotte
Nov 5, 2016·Journal of the American College of Cardiology·Tom F BrouwerReinoud E Knops
Dec 13, 2016·Pacing and Clinical Electrophysiology : PACE·Federico MiglioreEmanuele Bertaglia
Dec 23, 2016·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Joachim WinterStephen O'Connor
May 16, 2017·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Michael R GoldMartin C Burke
May 16, 2018·JACC. Clinical Electrophysiology·Joseph Y S ChanMark C S Hall

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Citations

May 23, 2019·Pacing and Clinical Electrophysiology : PACE·Andrea DroghettiPaolo Scimia
Nov 30, 2019·Journal of Cardiovascular Electrophysiology·Matteo ZiacchiAndrea Droghetti
Jan 5, 2020·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Federico MiglioreEmanuele Bertaglia
Jun 17, 2020·Expert Review of Cardiovascular Therapy·Muhammad R AfzalRaul Weiss
Aug 15, 2020·Clinical Cardiology·Christoph SchukroCesar Khazen
Dec 10, 2019·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Toshimasa OkabeMichael K Essandoh
Jul 12, 2018·Current Cardiology Reports·S W E BaalmanR E Knops
Mar 20, 2019·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Nils BögeholzLars Eckardt
Oct 30, 2020·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Pietro FranciaIgor Diemberger
Aug 9, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Dylan T Finnerty, Michael Griffin
Mar 13, 2021·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Berardo SarubbiMaria Giovanna Russo
May 11, 2021·Journal of Cardiovascular Electrophysiology·Pietro FranciaMatteo Ziacchi
Dec 29, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Yang ZhangShibiao Chen
Dec 12, 2018·Journal of Cardiothoracic and Vascular Anesthesia·Alexander J C MittnachtHimani V Bhatt

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