Finally, a comprehensive yet practical video/text guide on the techniques and clinical considerations related to ICD insertion. Dr. Higgins discusses important related areas too, such as patient selection, O.R. preparation, surgical techniques of lead access, generator implantation and post-operative management, including complications. The 30-minute video presents several different approaches to venous access, proper generator positioning, both subcutaneous and submuscular, as well as pectoral and abdominal sites. As a leading researcher in ICD therapy, Dr. Higgins has participated in over 1,000 such procedures. He was recently one of the principal investigators in the Multicenter Automated Defibrillator Implantation Trial (MADIT), a blind test in which ICD therapy was associated with a 56% reduction in two-year mortality versus those treated with conventional medical therapy. More detailed and case management oriented than any proprietary ICD manufacturer 'in-house' video, The Implantable Cardioverter Defibrillator: A Videotape and Manual is a superb training tool from a world-class expert and ICD pioneer.