Prospective evaluation of shoulder-related problems in patients with pectoral cardioverter-defibrillator implantation

摘要: Abstract Background: The pectoral approach to implantation of cardioverter defibrillators (ICDs) has become a standard in defibrillator therapy because reduced generator size, weight, and volume. But the size these devices is still comparable early conventional antibradycardia pacemakers that were associated with number significant pocket- shoulder-related problems after region. In prospective, single-center study 50 patients subpectoral fourth-generation ICD, ipsilateral shoulder joint was evaluated regarding active motility, pain, function, elevation, insertion tendinitis, morphologic alterations shoulder. Methods Results: before at 3, 6, 12 months implantation. Shoulder motility documented by evaluating abduction, forward flexion, external rotation. Shoulder-related pain function "Basic Evaluation Form," tendinitis diagnosed standardized palpation impingment test, ultrasound radiograph Three implantation, 20 (40%) had 30 (60%) an impaired eight (16%) Thirty-one (62%) reported or according Form." Twenty-four (48%) showed elevation 21 (42%) demonstrated clinical signs tendinitis. After rotation dropped four (8%). seven (13%) patients, (8%) five (10%) None postoperatively performed ultrasounds radiographs any pathologic alterations. No predictors for occurrence shoulder-associated could be found. Conclusions: (1) Decreased are many 3 ICD (2) decreased significantly. (3) Ultrasound no evidence (4) required operative revision pocket. (Am Heart J 1997;134:577-83.)