4
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Initial experience with the subcutaneous implantable cardioverter-defibrillator in a single Japanese center

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          The subcutaneous implantable cardioverter-defibrillator (S-ICD) is recognized as a viable alternative to the transvenous ICD. The safety and efficacy of this device has been demonstrated in Western countries, but studies with S-ICD implantation in Japanese patients have not been reported.

          Methods and results

          Twelve patients received an S-ICD implant in our institute between February and September 2016. All S-ICDs were successfully implanted without complications. One appropriate and one inappropriate therapy was identified.

          Conclusions

          S-ICD implantation appears to provide a viable alternative to transvenous ICD implantation for some Japanese patients. However, we should perform careful follow-up of patients to eliminate inappropriate therapy.

          Related collections

          Most cited references5

          • Record: found
          • Abstract: found
          • Article: not found

          Two-incision technique for implantation of the subcutaneous implantable cardioverter-defibrillator.

          Three incisions in the chest are necessary for implantation of the entirely subcutaneous implantable cardioverter-defibrillator (S-ICD). The superior parasternal incision is a possible risk for infection and a potential source of discomfort. A less invasive alternative technique of implanting the S-ICD electrode--the two-incision technique--avoids the superior parasternal incision.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Safety and Efficacy of the Subcutaneous Implantable Defibrillator

            Multiple randomized, multicenter trials have established the role of the implantable cardioverter-defibrillator (ICD) in the treatment and prevention of sudden cardiac death. However, transvenous ICD leads have significant short- and long-term complications, offsetting some of the benefit of this therapy. This has led to the development of the entirely subcutaneous ICD. This system is safe and effective, avoiding the need for intravascular leads. It is best suited for patients at low risk for pacing and increased risk for transvenous lead complications. Ongoing randomized and long-term registries will help identify the optimal role of this device in clinical practice.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: found
              Is Open Access

              Intermuscular pocket for subcutaneous implantable cardioverter defibrillator: Single-center experience

              The subcutaneous implantable cardioverter defibrillator (S-ICD) is a novel device now accepted in clinical practice for treating ventricular arrhythmias. In 14 consecutive patients, S-ICD devices were placed in the virtual space between the anterior surface of the serratus anterior muscle and the posterior surface of the latissimus dorsi muscle. During a mean follow up of 9 months, no dislocations, infections, hematoma formations, or skin erosions were observed. Intermuscular implantation of the S-ICD could be a reliable, safe, and appealing alternative to the standard subcutaneous placement.
                Bookmark

                Author and article information

                Contributors
                Journal
                J Arrhythm
                J Arrhythm
                Journal of Arrhythmia
                Elsevier
                1880-4276
                1883-2148
                31 March 2017
                August 2017
                31 March 2017
                : 33
                : 4
                : 338-341
                Affiliations
                [a ]Department of Cardiovascular Therapeutics, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan
                [b ]Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan
                Author notes
                [* ]Corresponding author. Fax: +81 86 235 7353. nnishii@ 123456md.okayama-u.ac.jp nnnnishii2001@ 123456yahoo.co.jp
                Article
                S1880-4276(17)30027-3
                10.1016/j.joa.2017.02.004
                5529595
                38f72103-e8c5-42ac-b18f-eb80f4bd696d
                © 2017 Japanese Heart Rhythm Society. Published by Elsevier B.V.

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 6 December 2016
                : 23 January 2017
                : 19 February 2017
                Categories
                Rapid Communication

                subcutaneous implantable cardioverter-defibrillator,sudden cardiac death,t-wave oversensing

                Comments

                Comment on this article