title: A modified subcutaneous implantable cardioverter-defibrillator implant in a patient with a previous left ventricular epicardial defibrillation patch.
abstract: We describe a case of subcutaneous implantable cardioverter-defibrillator (ICD) implant in a patient with an existing epicardial defibrillation patch. Potential issues with shock vector shielding were overcome by a modification of the generator implant site and poor sensing were successfully managed by programming a sensing vector which excluded the generator.
authors.affiliation: Guys and St Thomas' Hospital Foundation NHS Trust, Westminster Bridge Road, London, SE1 7EH, UK. Paresh.Mehta@gstt.nhs.uk
authors.forename: Paresh A
authors.initials: PA
authors.lastname: Mehta
authors.forename: Julian
authors.initials: J
authors.lastname: Bostock
authors.forename: Christopher A
authors.initials: CA
authors.lastname: Rinaldi
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods; D009202:Cardiomyopathies / Q000628:therapy; D017147:Defibrillators, Implantable; D020878:Device Removal; D005260:Female; D006323:Heart Arrest / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000382:microbiology; D017180:Tachycardia, Ventricular / Q000628:therapy; D016896:Treatment Outcome; D014693:Ventricular Fibrillation / Q000628:therapy*