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