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Subcutaneous implantable cardioverter defibrillators in patients with left ventricular assist devices: case report and comprehensive review.


ABSTRACT: Left ventricular assist devices (LVAD) are increasingly used in patients with advanced heart failure, many of whom have been or will be implanted with an implantable cardioverter defibrillator (ICD). Interaction between both devices is a matter of concern. Subcutaneous ICD (S-ICD) obtains its signals through subcutaneous vectors, which poses special challenges with regards to adequate performance following LVAD implantation. We describe the case of a 24-year-old man implanted with an S-ICD because of idiopathic dilated cardiomyopathy, severe biventricular dysfunction, and self-limiting sustained ventricular tachycardias. After the implantation of a HeartMate 3™ (Left Ventricular Assist System, Abbott) several months later, the S-ICD became useless because of inappropriate sensing due to el

SUBMITTER: Lopez-Gil M 

PROVIDER: S-EPMC6601396 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature

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