Ee. Vyhmeister et al., SIMPLE APPROACH FOR EXTRAPERICARDIAL PLACEMENT OF DEFIBRILLATOR PATCHES VIA MEDIAN STERNOTOMY, The Annals of thoracic surgery, 57(5), 1994, pp. 1341-1342
The intrapericardial placement of implantable cardioverter defibrillat
or patches has been associated with a variety of complications due to
the patch-epicardial interface. Extrapericardial placement of defibril
lator patches minimizes these problems. We describe a simple and repro
ducible technique to achieve this goal whenever a median sternotomy ap
proach is used.