Why the study?
Does totally submuscular implantation of S-ICD provide safe and effective shock transmission and improve comfort in severely obese patients with an oversized chest?
Does totally submuscular implantation of S-ICD provide safe and effective shock transmission and improve comfort in severely obese patients with an oversized chest?
Totally submuscular implantation of an S-ICD is a feasible, safe, and comfortable technique for severely obese patients with an oversized chest.
May support submuscular S-ICD use in obese patients; leaves open need for prospective validation before practice change.
The subcutaneous implantable cardioverter-defibrillator (S-ICD) is a safe alternative to transvenous ICD. We describe a submuscular S-ICD placement technique in a severely obese with an oversized chest. Submuscular configuration allows optimal system positioning and impendence values warranting a safe and effective shock transmission. This technique is safe and improves patients comfort.
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Droghetti et al. (2016) studied this question.
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