Restoring the Recurrent Extrusion of the Subcutaneously Implanted Defibrillator by Means of Subpectoral Replacement: The Benefits of Subpectoral Implantation in the Current ICD Era

A 72-year-old man with a thin build had an ICD system with a generator implanted at left prepectoral space. The generator was exposed through thin overlying skin at 11 months following surgery. Although it was undermined with the adjacent skin, it was exposed again 6 months later. The generator was...

Full description

Bibliographic Details
Main Authors: Itsuro Morishima, MD, Tatahito Sone, MD, Hideyuki Tsuboi, MD, Hiroaki Mukawa, MD, Masahiko Satoda, MD, Michitaka Uesugi, MD, Hisakazu Kato, MD, Yoko Morishima, MD
Format: Article
Language:English
Published: Wiley 2005-01-01
Series:Journal of Arrhythmia
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1880427605800298
_version_ 1828452223644860416
author Itsuro Morishima, MD
Tatahito Sone, MD
Hideyuki Tsuboi, MD
Hiroaki Mukawa, MD
Masahiko Satoda, MD
Michitaka Uesugi, MD
Hisakazu Kato, MD
Yoko Morishima, MD
author_facet Itsuro Morishima, MD
Tatahito Sone, MD
Hideyuki Tsuboi, MD
Hiroaki Mukawa, MD
Masahiko Satoda, MD
Michitaka Uesugi, MD
Hisakazu Kato, MD
Yoko Morishima, MD
author_sort Itsuro Morishima, MD
collection DOAJ
description A 72-year-old man with a thin build had an ICD system with a generator implanted at left prepectoral space. The generator was exposed through thin overlying skin at 11 months following surgery. Although it was undermined with the adjacent skin, it was exposed again 6 months later. The generator was replaced in the ipsilateral subpectoral space. Since then, no signs of recurrence have been observed for the subsequent 12 months, with the patient pleased with its cosmetic appearance. This case illustrates the benefits of subpectoral implantation in the current ICD era in which subcutaneous implantation is common.
first_indexed 2024-12-10T23:50:11Z
format Article
id doaj.art-7d1fdb3900b8458cb5350ed2c22da393
institution Directory Open Access Journal
issn 1880-4276
language English
last_indexed 2024-12-10T23:50:11Z
publishDate 2005-01-01
publisher Wiley
record_format Article
series Journal of Arrhythmia
spelling doaj.art-7d1fdb3900b8458cb5350ed2c22da3932022-12-22T01:28:47ZengWileyJournal of Arrhythmia1880-42762005-01-0121341842110.1016/S1880-4276(05)80029-8Restoring the Recurrent Extrusion of the Subcutaneously Implanted Defibrillator by Means of Subpectoral Replacement: The Benefits of Subpectoral Implantation in the Current ICD EraItsuro Morishima, MD0Tatahito Sone, MD1Hideyuki Tsuboi, MD2Hiroaki Mukawa, MD3Masahiko Satoda, MD4Michitaka Uesugi, MD5Hisakazu Kato, MD6Yoko Morishima, MD7Department of Cardiology, Ogaki Municipal HospitalDepartment of Cardiology, Ogaki Municipal HospitalDepartment of Cardiology, Ogaki Municipal HospitalDepartment of Cardiology, Ogaki Municipal HospitalDepartment of Cardiology, Ogaki Municipal HospitalDepartment of Cardiology, Ogaki Municipal HospitalDepartment of Plastic & Reconstructive Surgery, Ogaki Municipal HospitalDepartment of Plastic & Reconstructive Surgery, Ogaki Municipal HospitalA 72-year-old man with a thin build had an ICD system with a generator implanted at left prepectoral space. The generator was exposed through thin overlying skin at 11 months following surgery. Although it was undermined with the adjacent skin, it was exposed again 6 months later. The generator was replaced in the ipsilateral subpectoral space. Since then, no signs of recurrence have been observed for the subsequent 12 months, with the patient pleased with its cosmetic appearance. This case illustrates the benefits of subpectoral implantation in the current ICD era in which subcutaneous implantation is common.http://www.sciencedirect.com/science/article/pii/S1880427605800298Implantable cardioverter defibrillatorCosmetic benefitDevice protection
spellingShingle Itsuro Morishima, MD
Tatahito Sone, MD
Hideyuki Tsuboi, MD
Hiroaki Mukawa, MD
Masahiko Satoda, MD
Michitaka Uesugi, MD
Hisakazu Kato, MD
Yoko Morishima, MD
Restoring the Recurrent Extrusion of the Subcutaneously Implanted Defibrillator by Means of Subpectoral Replacement: The Benefits of Subpectoral Implantation in the Current ICD Era
Journal of Arrhythmia
Implantable cardioverter defibrillator
Cosmetic benefit
Device protection
title Restoring the Recurrent Extrusion of the Subcutaneously Implanted Defibrillator by Means of Subpectoral Replacement: The Benefits of Subpectoral Implantation in the Current ICD Era
title_full Restoring the Recurrent Extrusion of the Subcutaneously Implanted Defibrillator by Means of Subpectoral Replacement: The Benefits of Subpectoral Implantation in the Current ICD Era
title_fullStr Restoring the Recurrent Extrusion of the Subcutaneously Implanted Defibrillator by Means of Subpectoral Replacement: The Benefits of Subpectoral Implantation in the Current ICD Era
title_full_unstemmed Restoring the Recurrent Extrusion of the Subcutaneously Implanted Defibrillator by Means of Subpectoral Replacement: The Benefits of Subpectoral Implantation in the Current ICD Era
title_short Restoring the Recurrent Extrusion of the Subcutaneously Implanted Defibrillator by Means of Subpectoral Replacement: The Benefits of Subpectoral Implantation in the Current ICD Era
title_sort restoring the recurrent extrusion of the subcutaneously implanted defibrillator by means of subpectoral replacement the benefits of subpectoral implantation in the current icd era
topic Implantable cardioverter defibrillator
Cosmetic benefit
Device protection
url http://www.sciencedirect.com/science/article/pii/S1880427605800298
work_keys_str_mv AT itsuromorishimamd restoringtherecurrentextrusionofthesubcutaneouslyimplanteddefibrillatorbymeansofsubpectoralreplacementthebenefitsofsubpectoralimplantationinthecurrenticdera
AT tatahitosonemd restoringtherecurrentextrusionofthesubcutaneouslyimplanteddefibrillatorbymeansofsubpectoralreplacementthebenefitsofsubpectoralimplantationinthecurrenticdera
AT hideyukitsuboimd restoringtherecurrentextrusionofthesubcutaneouslyimplanteddefibrillatorbymeansofsubpectoralreplacementthebenefitsofsubpectoralimplantationinthecurrenticdera
AT hiroakimukawamd restoringtherecurrentextrusionofthesubcutaneouslyimplanteddefibrillatorbymeansofsubpectoralreplacementthebenefitsofsubpectoralimplantationinthecurrenticdera
AT masahikosatodamd restoringtherecurrentextrusionofthesubcutaneouslyimplanteddefibrillatorbymeansofsubpectoralreplacementthebenefitsofsubpectoralimplantationinthecurrenticdera
AT michitakauesugimd restoringtherecurrentextrusionofthesubcutaneouslyimplanteddefibrillatorbymeansofsubpectoralreplacementthebenefitsofsubpectoralimplantationinthecurrenticdera
AT hisakazukatomd restoringtherecurrentextrusionofthesubcutaneouslyimplanteddefibrillatorbymeansofsubpectoralreplacementthebenefitsofsubpectoralimplantationinthecurrenticdera
AT yokomorishimamd restoringtherecurrentextrusionofthesubcutaneouslyimplanteddefibrillatorbymeansofsubpectoralreplacementthebenefitsofsubpectoralimplantationinthecurrenticdera