The Role of Subcutaneous ICDs in the Prevention of Sudden Cardiac Death

Author:

John Leah A1ORCID,Karimianpour Ahmadreza1,Gold Michael R1ORCID

Affiliation:

1. Division of Cardiology, Medical University of South Carolina, Charleston, SC

Abstract

The ICD is an important therapy in the prevention of sudden cardiac death. The transvenous-ICD (TV-ICD) has been the primary device used for this purpose. However, mechanical and infectious complications occur with traditional TV-ICDs increasing morbidity and mortality. The subcutaneous-ICD (S-ICD) system was developed to circumvent some of these complications, but S-ICDs have their inherent set of limitations as well. These include inappropriate shock delivery, lack of bradycardia, antitachycardia or CRT pacing therapy and shorter device longevity. The S-ICD is now included in guidelines as an acceptable alternative to TV-ICDs among patients without pacing indications. This review discusses the rationale for S-ICDs by reviewing studies including the PRAETORIAN, PAS and UNTOUCHED trials.

Publisher

Radcliffe Group Ltd

Subject

Cardiology and Cardiovascular Medicine

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