The Subcutaneous Implantable Cardioverter-defibrillator: New Features and Implant Techniques and Future Developments

Figures

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  Figure 1:. Insertion of the S-ICD lead with the two-incision technique. The tunneling tool has been inserted from the xiphoid incision toward the manubrium and the 11-French sheath is being advanced over the tunneling tool.

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  Figure 2:. Postoperative posteroanterior (A) and lateral (B) chest X-rays demonstrating the position of the coil along the left parasternal border and the midaxillary position of the pulse generator.

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  Figure 3:. Submuscular S-ICD implanted using the three-incision technique between the serratus anterior and latissimus dorsi muscles of a 14-year-old, 40.8 kg male with complex congenital heart disease. The image shows the patient at 10 days after surgery.

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  Figure 4:. Inappropriate S-ICD shock due to T-wave oversensing in a patient with HCM. While the sinus rate is about 110 bpm, on the third row, double-counting of the T-wave has occurred (note the T marker, for tachycardia detection). The lightning bolt delineates the shock.