Y. Tomita et al., Confirmation of correct placement of the endocardial lead in cardiodefibrillator implantation by intraoperative transesophageal echocardiography, SURG TODAY, 31(9), 2001, pp. 848-849
Correct positioning of the endocardial lead in the apex of the right ventri
cle during the insertion of an implantable cardiodefibrillator (ICD) under
general anesthesia, when cardiac function is generally poor, is most import
ant. We describe herein a method of using intraoperative esophageal echocar
diography in combination with fluoroscopy to confirm fixation of the endoca
rdial ICD lead in the right ventricular apex.