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      Subcutaneous implantable cardioverter defibrillator for dialysis patients: a strategy to reduce central vein stenoses and infections.

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          Abstract

          Central venous stenosis is a common complication of the transvenous leads associated with an implantable cardioverter defibrillator (ICD). Although epicardial leads have been reported to bypass this complication, their placement is much more invasive than the subcutaneous ICDs (SICDs) and requires the services of a cardiothoracic surgeon. Recent data have demonstrated successful defibrillation using an SICD. In this report, we present 4 long-term hemodialysis patients treated successfully with an SICD. 3 patients received the device for primary prevention of sudden cardiac death (cardiomyopathy with low ejection fraction). The patient in the fourth case had a prolonged QT interval and received the device for secondary prevention. 3 patients had an arteriovenous fistula, whereas 1 patient was dialyzing with a tunneled dialysis catheter. Insertion of an SICD is a minimally invasive procedure. By virtue of leaving the venous system untouched, this approach might offer the advantage of reduced risk of central venous stenosis and infection over an endocardial ICD with transvenous leads. SICD is not experimental; it has been approved by the US Food and Drug Administration and is currently being used in the United States and Europe.

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          Author and article information

          Journal
          Am. J. Kidney Dis.
          American journal of kidney diseases : the official journal of the National Kidney Foundation
          Elsevier BV
          1523-6838
          0272-6386
          Jul 2015
          : 66
          : 1
          Affiliations
          [1 ] Rancho Los Amigos National Rehabilitation Center, Downey, CA.
          [2 ] Albany Medical College, Albany, NY.
          [3 ] Albany Medical College, Albany, NY; Stratton VA Medical Center, Albany, NY.
          [4 ] Stratton VA Medical Center, Albany, NY.
          [5 ] University of Texas, Galveston, TX.
          [6 ] University of Wisconsin, Madison, WI.
          [7 ] University of Miami Miller School of Medicine, Miami, FL.
          [8 ] Albany Medical College, Albany, NY. Electronic address: asifa@mail.amc.edu.
          Article
          S0272-6386(15)00515-6
          10.1053/j.ajkd.2015.01.028
          25911316

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