Thoracoscopic placement of phrenic nerve pacers for diaphragm pacing in XXXX .

@entity395 @entity1 @entity11627 @entity260
PURPOSE: @entity11627 ( @entity11627 ), or Ondine's curse, is a @entity395 affecting central respiratory drive. @entity1 with this disorder fail to ventilate adequately and require lifelong ventilatory support. Diaphragm pacing is a form of ventilatory support which can improve mobility and/or remove the tracheostomy from @entity11627 @entity1 . Little is known about complications and long-term outcomes of this procedure. METHODS: A single-center retrospective review was performed of @entity11627 @entity1 undergoing placement of phrenic nerve electrodes for diaphragm pacing between 2000 and 2012. Data abstracted from the medical record included operation duration, ventilation method, number of trocars required, and postoperative and pacing outcomes. RESULTS: Charts of eighteen @entity1 were reviewed. Mean surgical time was 3.3  0.7hours. In all cases except one, three trocars were utilized for each hemithorax, with no conversions to open procedures. Five @entity1 (27.8%) experienced @entity260 . The mean ICU stay was 4.3  0.5days, and the mean hospital stay is 5.7  0.3days. Eleven @entity1 (61.1%) achieved their daily goal pacing times within the follow-up period. CONCLUSIONS: Thoracoscopic placement of phrenic nerve electrodes for diaphragmatic pacing is a safe and effective treatment modality for @entity11627 . Observed complications were temporary, and the majority of @entity1 were able to achieve pacing goals.
