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Characterization of the substernal space with computed tomography imaging in patients with and without median sternotomy: Assessing a novel implant location for extravascular defibrillation lead placement.

Wanlan ChenYongjun GongLimin XiaYu ZhangHongyang LuVarun BhatiaAmy E ThompsonJian CaoJun YangWeiwu YaoZhaohui Qiu
Published in: Pacing and clinical electrophysiology : PACE (2023)
Small but measurable separations between the heart and sternum were observed in patients with prior sternotomy, particularly near the xiphoid region, indicating the potential viability of extravascular substernal ICD lead implantation in post-sternotomy patients.
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