Uf. Wolfhard et al., EARLY AND LATE SURGICAL COMPLICATIONS IN SUBPECTORAL IMPLANTED CARDIOVERTER DEFIBRILLATOR-SYSTEMS (ICD) - EXPERIENCE IN MORE THAN 100 PATIENTS/, HEARTWEB, 2(3), 1997, pp. 39-42
Subpectoral (SP) implantation of ICD shells is now feasible in nearly
all patients because of reduced case dimensions. The course of 101 pat
ients who received a pectoral ICD system was compared with the course
of patients who had the system implanted abdominally. Hematomas were r
ather frequent (6%) in the SP group, despite careful muscle dissection
and use of a closed suction device. Early pocket revision may actuall
y avoid infections.