Subcutaneous ICD implantation.

Abstract

An 18-year-old patient, with hypertrophic cardiomyopathy and an implantable cardioverter defibrillator for 6 years, was admitted with inappropriate shocks as a consequence of a lead fracture (Sprint Quattro, Medtronic). The device was explanted and replaced with a new subcutaneous defibrillator (Cameron SQ-RX), without complications. This was the first time that a subcutaneous cardioverter defibrillator had been used in the Iberian Peninsula. The new implantable defibrillator, with subcutaneous lead and generator, can lower the risk of complications, including lead fracture or infection. Furthermore, this device has good rhythm diagnostic performance and therapeutic efficacy. Following the case report, we present a brief review of the new defibrillator with subcutaneous implantation.

• Authors: Pedro Jerónimo Sousa, Diogo Cavaco, José Pedro Neves, Pedro Adragão, João Brito, Pedro Carmo, Martha Bouzin, Ricardo Bernardo, Katia Reis Santos, Francisco Bello Morgado, José Aniceto Silva
• Journal: Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology (Rev Port Cardiol) Vol. 29 Issue 3 Pg. 451-7 (Mar 2010) ISSN: 0870-2551 [Print] Portugal
• PMID: 20635570 (Publication Type: Case Reports, Journal Article, Review)

Topics

• Adolescent
• Defibrillators, Implantable
• Humans
• Male
• Prosthesis Implantation (methods)