Prevent SCD with SCD ! (Subcutaneous defibrillation ) : Simplifying the concept of ICD !
Posted Sep 14 2010 6:25am
Implantable cardiovertor defibrillator(ICD) is one of the major revolution in cardiology practice that happened last century. We know , the number one killer of mankind is the ventricular fibrillation induced by acute or chronic CAD.
In the later half of 20th century we learnt that , the only way to prevent a sudden cardiac death is the defibrillating the heart as soon as the deadly killer arrhythmia strikes !
Whenever cardiac arrest happens in a susceptible population , following things are possible.
Transvenous implantation becomes technically complex in many .Abandoning the procedure or using subcutaneous pads are necessary in few . Then , this question was asked
Why not the entire ICD implantation be in subcutaneous plane ?
Yes , it is possible . After all , current can reach the place where it is needed , irrespective of the site it is delivered. The aim of this technique is to simplify the ICD implantation , so that it can be practiced in a wider clinical set up Preliminary results of subcutaneous ICD are available and was published recently in NEJM.
Implantable cardiovertor defibrillator(ICD) is one of the major revolution in cardiology practice that happened last century. We know , the number one killer of mankind is the ventricular fibrillation induced by acute or chronic CAD.
In the later half of 20th century we learnt that , the only way to prevent a sudden cardiac death is the defibrillating the heart as soon as the deadly killer arrhythmia strikes !
Whenever cardiac arrest happens in a susceptible population , following things are possible.
And now new mode of defibrillation
Transvenous implantation becomes technically complex in many .Abandoning the procedure or using subcutaneous pads are necessary in few . Then , this question was asked
Why not the entire ICD implantation be in subcutaneous plane ?
Yes , it is possible . After all , current can reach the place where it is needed , irrespective of the site it is delivered. The aim of this technique is to simplify the ICD implantation , so that it can be practiced in a wider clinical set up Preliminary results of subcutaneous ICD are available and was published recently in NEJM.
The issues that need to be tackled are