Zumhagen Sven, Grace Andrew A, O'Connor Stephen, Löher Andreas, Köbe Julia, Eckardt Lars, Schulze-Bahr Eric
Institute for Genetics of Heart Diseases, University Hospital Münster, Münster, Germany.
Pacing Clin Electrophysiol. 2012 Sep;35(9):e254-7. doi: 10.1111/j.1540-8159.2011.03043.x. Epub 2011 Mar 14.
The totally subcutaneous implantable cardioverter-defibrillator (S-ICD) is an entirely novel defibrillation device that avoids the direct contact of device electrodes with the heart and the cardiovascular system. Here, we present a particular case of a young woman with congenital long-QT syndrome in which we implanted the electrode alternatively, right parasternally. This decision was based on the thoracic anatomy of the patient and on findings of a model of S-ICD electrodes in an adult torso. In conclusion, in some patients an alternative subcutaneous electrode position may be carefully considered but should not be taken to outweigh the standard left-sided placement.
完全皮下植入式心脏复律除颤器（S-ICD）是一种全新的除颤设备，可避免设备电极与心脏及心血管系统直接接触。在此，我们介绍一位患有先天性长QT综合征的年轻女性的特殊病例，在该病例中我们将电极植入在右侧胸骨旁。这一决定基于患者的胸部解剖结构以及成年人体躯干中S-ICD电极模型的研究结果。总之，在某些患者中可谨慎考虑替代的皮下电极位置，但不应认为其优于标准的左侧植入位置。
