Surgical and electrophysiological considerations in the management of a patient with a subcutaneous implantable cardioverter-defibrillator undergoing coronary artery bypass surgery

Angel, Brett; Overcash, J. Scott; Fischer, W.; Fontaine, John M.

doi:10.1016/j.hrcr.2016.09.002

Cited by 1 publication

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References 15 publications

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“…The S-ICD was implanted using a two-incision technique. Fluoroscopy was used just for marking the left side of the parasternum to avoid attaching the thoracic wire and to determine the pocket location ( 2 ). Considering cross talk between the S-ICD and epicardial pacemaker, which has previously been reported ( 3 ), we were able to manage the oversensing of the pacing and sensing between the epicardial CRT device and S-ICD.…”

Section: Case Reportmentioning

confidence: 99%

One Indication for an Extravascular Cardiac Resynchronization Therapy Defibrillator: Lessons from a Combination Therapy Case with Epicardial Cardiac Resynchronization Therapy and a Subcutaneous Implantable Cardioverter Defibrillator

et al. 2021

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Extravascular cardiac resynchronization therapy (CRT) defibrillators (CRT-Ds) are ideal for recurrent blood stream infections. Furthermore, CRT is useful for patients intolerant to right ventricular (RV) pacing. The case was a 65-year-old man with a CRT-D who presented with a blood stream infection. Because he was hemodynamically unstable with temporary RV pacing, an epicardial CRT device was re-implanted concomitantly through a surgical procedure. After the operation, a subcutaneous implantable cardioverter defibrillator (S-ICD) was placed. However, not all pacing is eligible for S-ICD screening. Combination therapy with an epicardial CRT device and S-ICD might be an alternate option for cardiac surgery cases.

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Section: Case Reportmentioning

confidence: 99%