2020
DOI: 10.1111/pace.14072
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Perioperative considerations during implantation of the subcutaneous defibrillator: State‐of‐the‐art review

Abstract: The subcutaneous implantable cardioverter‐defibrillator (S‐ICD) is an important tool in the armamentarium of an electrophysiologist. Multiple randomized trials over the last decade have shown that S‐ICDs are as efficacious as the transvenous ICDs and eliminate complications related to vascular access. In this review, we highlight issues unique to S‐ICD implantation, focusing not only on the surgical implantation procedure, but also the pre‐ and postimplant management of the patient.

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“…If that is not the case, the reversed polarity should be tested, provided that the impedance is in the acceptable range. If the impedance is out of range and/or the shock was not successful, the position of the system should be re-checked and corrected, if possible [ 92 ]. Reference impedance values given in the device manual are between 25 and 110 Ohm, values below 25 or over 200 Ohm trigger patient’s alert.…”
Section: Defibrillation Testingmentioning
confidence: 99%
“…If that is not the case, the reversed polarity should be tested, provided that the impedance is in the acceptable range. If the impedance is out of range and/or the shock was not successful, the position of the system should be re-checked and corrected, if possible [ 92 ]. Reference impedance values given in the device manual are between 25 and 110 Ohm, values below 25 or over 200 Ohm trigger patient’s alert.…”
Section: Defibrillation Testingmentioning
confidence: 99%