W. Grimm et al., SIMPLIFIED IMPLANTATION OF SINGLE-LEAD PECTORAL CARDIOVERTER-DEFIBRILLATORS USING DEVICE-BASED TESTING, The American journal of cardiology, 81(4), 1998, pp. 503
Device-based testing of single-lead pectoral defibrillators (defibrill
ation efficacy testing without an external defibrillation system after
complete implantation of the device) resulted in an adequate defibril
lation threshold (less than or equal to 20 J) in 45 of 50 study patien
ts (90%). Mean surgical implantation time (skin to skin) was 62 +/- 29
minutes without perioperative mortality and without implantable cardi
overter defibrillator infection during follow-up. Thus, device-based t
esting appears to be a simple and safe method to test defibrillation e
fficacy of single-lead pectoral defibrillators.