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Implantation Procedure for a Subcutaneous Implantable Cardiac Defibrillator (S-ICD)

Activity Type:

  • Course

This activity has expired

Release Date: 8/28/2015

Expiration Date: 9/5/2018

  • Participation - no CE credit: 3


This learning pathway discusses the pre-, intra-, and post- procedure care for the implantation of a subcutaneous implantable defibrillator (S-ICD).   This activity is complimentary.

The presentations are:

Pre-Procedure S-ICD Assessment – duration <6 minutes
This short presentation reviews the indications for use of a S-ICD and pre-procedure patient assessment. Patient assessment discusses the unique sensing algorithm for the SICD as well as considerations for specific patient populations.

S-ICD Implantation Techniques – duration <10 minutes
The presentation describes the implantation technique for the S-ICD. There is discussion of the anatomy and the proper positioning of the S-ICD generator as well as the technique and goals for positioning and tunneling the lead. Lastly there is a discussion regarding simple but important features for securing the lead and for closing the pocket.

Live Case - Implantation of a S-ICD – duration <25 minutes
A live case video that details the rationale and demonstrates the techniques for implanting an S-ICD

Successful Implantation of CIED Devices –
- Ensuring an Adequate Defibrillation Threshold Following a Subcutaneous ICD Implant - duration <20 minutes
- CIED Implantation in a Patient on Anticoagulation - duration <20 minutes

Post-Procedure S-ICD Assessment – duration <5 minutes
A presentation that briefly discusses care of the patient in the immediate post-procedure setting and considers the treadmill test to evaluate for T-wave oversensing

Improving Efficacy -
-Impact of BMI on Safety and Efficacy of the Subcutaneous ICD - duration <20 minutes
-Evaluation of a High Pass Filter Designed to Reduce Over-sensing in the S-ICD – duration <20 minutes
-First Report On Communicating Leadless Anti-Tachycardia Pacemaker and Subcutaneous Implantable Defibrillator – duration <20 minutes

Presented at HR 2015:  Current Status of the S-ICD and Its Use in Pediatric Patients – duration 25 minutes
A presentation from Heart Rhythm 2015 in Boston.

Novel Extravascular Defibrillation Configuration with a Coil in the Substernal Space - duration <20 minutes

A portion of the recordings was completed in conjunction with the Ohio State University Medical Center.

*CME/CE is NOT available for this activity


Raul Weiss, MD, FHRS, CCDS
Ohio State University Medical Center
Division of Cardiovascular Medicine

Emile Dauod, MD, FHRS
Professor of Internal Medicine
Ohio State University Medical Center
Division of Cardiovascular Medicine

Dan L. Musat, MD
Valley Health System
Ridgewood, NJ

David S. Frankel, MD, FHRS
Hospital of the University of Pennsylvania
Philadelphia, PA,

Dominic A. Theuns, PhD
Erasmus Medical Center
Rotterdam, Netherlands

Fleur V.y. Tjong, MD
Academic Medical Center
Amsterdam, Netherlands

Janice Till, MD
Royal Brompton Hospital
United Kingdom

Joseph YS Chan, MD
Prince of Wales Hospital
Hong Kong




Supported in part by Boston Scientific Corporation