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CARDIOVASCULAR JOURNAL OF AFRICA • Volume 25, No 6, November/December 2014

e10

AFRICA

the defibrillation thresholds of those patients who received

subcutaneous systems, and those who had a shock coil placed

directly on the pericardium. The epicardial systems were found

to have significantly lower defibrillation thresholds. It was

concluded that the epicardial coil technique would be preferable

in patients with greater body mass.

Conclusion

It is important to recognise that careful consideration must

be given to choose the appropriate technique in patients with

a Fontan operation and limited venous access. Techniques

for implantation of an ICD should be individualised in this

population. Long-term outcomes and possible complications

of these techniques are not well known because of limited data

in this patient group. Therefore regular follow up regarding the

longevity and safety of these non-traditional techniques and

devices is important.

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