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Early Experience with the Subcutaneous ICD.

Lambiase, PD; Srinivasan, NT; (2014) Early Experience with the Subcutaneous ICD. Curr Cardiol Rep , 16 (8) , Article 516. 10.1007/s11886-014-0516-1. Green open access

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Abstract

The Subcutaneous Internal Cardiac Defibrillator (S-ICD) represents a major advance in the care of patients who have an indication for an internal cardiac defibrillator without pacing indications. Its main advantage is that it can deliver a shock to cardiovert ventricular arrhythmias utilising a tunnelled subcutaneous lead, negating the risks associated with conventional transvenous systems. Initial studies have shown comparable efficacy in cardioversion of induced and spontaneous ventricular tachycardia (VT) and ventricular fibrillation (VF) when compared to conventional transvenous systems. In addition, inappropriate shocks occurred in a similar percentage of patients to conventional ICD studies. Complication rates are low and relate largely to localised wound infections, treated successfully with antibiotics. The long term efficacy of the device is yet to be ascertained, however, a randomised trial & prospective registries are currently in progress to enable direct comparison with transvenous ICDs. This article summarises the early clinical experience and trials in the implantation of the S-ICD.

Type: Article
Title: Early Experience with the Subcutaneous ICD.
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s11886-014-0516-1
Publisher version: http://dx.doi.org/10.1007/s11886-014-0516-1
Language: English
Additional information: © The Author(s) 2014. This article is published with open access at Springerlink.com. This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited. References.
Keywords: Internal cardiac defibrillator Sudden cardiac death Ventricular arrhythmia Defibrillation Subcutaneous ICD
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Cardiovascular Science
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Cardiovascular Science > Clinical Science
URI: http://discovery.ucl.ac.uk/id/eprint/1446939
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