title: Totally submuscular implantation of subcutaneous implantable cardioverter defibrillator: a safe and effective solution for obese or oversized patients.
abstract: The subcutaneous implantable cardioverter-defibrillator (S-ICD) is a safe alternative to transvenous ICD. We describe a submuscular S-ICD placement technique in a severely obese with an oversized chest. Submuscular configuration allows optimal system positioning and impendence values warranting a safe and effective shock transmission. This technique is safe and improves patients comfort.
authors.affiliation: Department of Cardiac, Thoracic and Vascular Sciences Thoracic Surgery Unit C. Poma Hospital Mantova Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Droghetti
authors.affiliation: Cardiology Unit Bolognini Hospital Seriate Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Locatelli
authors.affiliation: Cardiology Unit Bolognini Hospital Seriate Italy.
authors.forename: Bruno
authors.initials: B
authors.lastname: Casiraghi
authors.affiliation: Boston Scientific Milano Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Malacrida
authors.affiliation: Boston Scientific Milano Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Arupi
authors.affiliation: Thoracic Surgery Unit Perugia University Medical School Terni Italy.
authors.forename: Mark
authors.initials: M
authors.lastname: Ragusa
keywords: Obesity; subcutaneous defibrillator; submuscular technique; sudden cardiac death