An Extrapericardial Minimally Invasive Approach for Implantable Cardioverter Defibrillator

Jeko M. Madjarov, Michael G. Katz, Brad Poole, Svetozar Madzharov, John M. Fedor, Francis Robicsek

Research output: Contribution to journalArticlepeer-review


The indications for placement of an implantable cardioverter defibrillators (ICDs) have greatly expanded over the last years. However, standard transvenous approach is not suitable for a subset of patients who cannot benefit from ICD therapy. Here, we have demonstrated the feasibility and efficacy of extrapericardial ICD placement through a minimally invasive access in intact hearts as well as in postmyocardial infarction large animal models. Based on our data, we conclude that extrapericardial ICD placement is a feasible approach that may be a valuable alternative or adjunct to current defibrillator lead systems.

Original languageEnglish
Pages (from-to)475-478
Number of pages4
JournalThoracic and Cardiovascular Surgeon
Issue number6
StatePublished - 1 Sep 2017


  • extrapericardial approach
  • implantable cardioverter defibrillator
  • large animal model


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