title: 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.affiliation: Servigo de Cardiologia, Hospital de Santa Cruz, Centro Hospitalar de Lisboa Ocidental, Carnaxide, Portugal. p965675551@gmail.com
authors.forename: Pedro Jerónimo
authors.initials: PJ
authors.lastname: Sousa
authors.forename: Diogo
authors.initials: D
authors.lastname: Cavaco
authors.forename: José Pedro
authors.initials: JP
authors.lastname: Neves
authors.forename: Pedro
authors.initials: P
authors.lastname: Adragão
authors.forename: João
authors.initials: J
authors.lastname: Brito
authors.forename: Pedro
authors.initials: P
authors.lastname: Carmo
authors.forename: Martha
authors.initials: M
authors.lastname: Bouzin
authors.forename: Ricardo
authors.initials: R
authors.lastname: Bernardo
authors.forename: Katia Reis
authors.initials: KR
authors.lastname: Santos
authors.forename: Francisco Bello
authors.initials: FB
authors.lastname: Morgado
authors.forename: José Aniceto
authors.initials: JA
authors.lastname: Silva
mesh_terms: D000293:Adolescent; D017147:Defibrillators, Implantable; D006801:Humans; D008297:Male; D019919:Prosthesis Implantation / Q000379:methods