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Author Spotlight: Advancements in Impedance Monitoring for Cochlear Implant Surgery

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S-ICD Implantation "Tips and Tricks".

Szymon Budrejko¹, Maciej Kempa¹, Andrzej Przybylski^2,3

¹Department of Cardiology and Electrotherapy, Medical University of Gdansk, 80-210 Gdansk, Poland.

Reviews in Cardiovascular Medicine

|July 30, 2024

Summary

This summary is machine-generated.

Subcutaneous implantable cardioverter-defibrillators (S-ICDs) offer protection against sudden cardiac death by avoiding transvenous leads. This review details S-ICD implantation procedures, highlighting benefits over traditional devices.

Keywords:

implantable cardioverter-defibrillator subcutaneous implantable cardioverter-defibrillator sudden cardiac death

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Area of Science:

Cardiology
Biomedical Engineering
Medical Devices

Background:

Traditional transvenous implantable cardioverter-defibrillators (ICDs) effectively treat ventricular arrhythmias but have limitations.
These limitations include the need for vascular access and risks associated with transvenous leads, such as lead failure and infections.
A subcutaneous ICD (S-ICD) system was developed to mitigate these issues by positioning the device entirely outside the cardiovascular system.

Purpose of the Study:

To review the key aspects and considerations for the implantation procedure of subcutaneous implantable cardioverter-defibrillators (S-ICDs).
To provide insights based on author experience and a comprehensive literature review regarding S-ICD implantation.
To support the increasing global adoption of S-ICD technology in clinical practice.

Main Methods:

Literature search on subcutaneous implantable cardioverter-defibrillator (S-ICD) implantation procedures.
Analysis of author experience with S-ICD implantation.
Synthesis of relevant issues and best practices for S-ICD implantation.

Main Results:

Subcutaneous ICDs provide an alternative to transvenous systems, circumventing lead-related complications.
The implantation procedure for S-ICDs is distinct from traditional ICDs, requiring specific anatomical considerations.
Growing worldwide utilization indicates increasing acceptance and integration of S-ICD systems.

Conclusions:

Subcutaneous ICDs represent a significant advancement in preventing sudden cardiac death, offering a leadless alternative.
The S-ICD system overcomes limitations associated with transvenous leads, enhancing patient safety and device reliability.
This review provides essential information for centers adopting or expanding S-ICD implantation services.