The subcutaneous implantable cardioverter-defibrillator (S-ICD) does not require the insertion of any leads into the cardiovascular system. This analysis describes current practice concerning S-ICD use after transvenous ICD (TV-ICD) explantation.
A new analysis describes current practice concerning S-ICD use after transvenous ICD (TV-ICD) explantation, studying all the 229 consecutive patients who underwent transvenous extraction of an ICD and subsequent implantation of an S-ICD or a single-chamber TV-ICD at 12 Italian centers from 2011 to 2017.
Results show an increasing use of S-ICD over the years in patients undergoing TV-ICD explantation. An S-ICD is preferably adopted in young patients, mostly in the case of infection. Complication rate was comparable between groups, and decreased when a sub or inter-muscular S-ICD generator position was adopted.