title: Totally subcutaneous implantable cardioverter defibrillator with an alternative, right parasternal, electrode placement.
abstract: The totally subcutaneous implantable cardioverter-defibrillator (S-ICD) is an entirely novel defibrillation device that avoids the direct contact of device electrodes with the heart and the cardiovascular system. Here, we present a particular case of a young woman with congenital long-QT syndrome in which we implanted the electrode alternatively, right parasternally. This decision was based on the thoracic anatomy of the patient and on findings of a model of S-ICD electrodes in an adult torso. In conclusion, in some patients an alternative subcutaneous electrode position may be carefully considered but should not be taken to outweigh the standard left-sided placement.
authors.affiliation: Institute for Genetics of Heart Diseases, University Hospital Münster, Münster, Germany. Sven.Zumhagen@ukmuenster.de
authors.forename: Sven
authors.initials: S
authors.lastname: Zumhagen
authors.forename: Andrew A
authors.initials: AA
authors.lastname: Grace
authors.forename: Stephen
authors.initials: S
authors.lastname: O'Connor
authors.forename: Andreas
authors.initials: A
authors.lastname: Löher
authors.forename: Julia
authors.initials: J
authors.lastname: Köbe
authors.forename: Lars
authors.initials: L
authors.lastname: Eckardt
authors.forename: Eric
authors.initials: E
authors.lastname: Schulze-Bahr
mesh_terms: D000328:Adult; D017147:Defibrillators, Implantable; D004567:Electrodes, Implanted; D004867:Equipment Design; D019544:Equipment Failure Analysis; D005260:Female; D006333:Heart Failure / Q000175:diagnosis* / Q000517:prevention & control*; D006801:Humans; D013249:Sternum; D016896:Treatment Outcome