title: Novel use of a subcutaneous shock lead to create an epicardial implantable cardioverter/defibrillator system via a limited thoracotomy.
abstract: We report the case of a novel use of a subcutaneous shock lead to create an epicardial implantable cardioverter/defibrillator (ICD) system via a limited thoracotomy in a patient with poor vascular access. Performance of the system is comparable to the conventional ICD system without the disadvantages of other available epicardial ICD systems.
authors.affiliation: Arrythmia Unit, Department of Cardiology and Cardiovascular Surgery, OLV Hospital, Aalst, Belgium. roel.beelen@olvz-aalst.be
authors.forename: Roel
authors.initials: R
authors.lastname: Beelen
authors.forename: Filip
authors.initials: F
authors.lastname: Casselman
authors.forename: Peter
authors.initials: P
authors.lastname: Geelen
mesh_terms: D000368:Aged; D017147:Defibrillators, Implantable; D004867:Equipment Design; D005500:Follow-Up Studies; D006339:Heart Rate; D006801:Humans; D008297:Male; D010496:Pericardium; D012867:Skin; D013908:Thoracotomy / Q000379:methods*; D014693:Ventricular Fibrillation / Q000503:physiopathology / Q000628:therapy*