ArticleJACC. Case reports2025
Not Afraid to Go Beyond: Innovative Management of Intermuscular S-ICD Infection.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Extravascular implantable cardioverter-defibrillator implantation strategies following transvenous or subcutaneous device infections: a case series.European heart journal. Case reports · 2026Article
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Authors and funding
10 authors.
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Abstract
backgroundSubcutaneous implantable cardioverter-defibrillator (S-ICD) infection can be managed conservatively, shifting the generator from the submuscular to intermuscular pocket. CASE SUMMARY: A 50-year-old man with hypertrophic cardiomyopathy and an S-ICD implanted as primary prevention with the intermuscular pocket technique was admitted to the cardiology department for a check-up owing to evidence of a pseudonodular skin lesion over the catheter sleeve that developed after having shaved the chest. Positron emission tomography/computed tomography scan was performed and revealed an active infection both over the S-ICD generator and along the lead. The patient declined transvenous ICD reimplantation, so we performed a revised shift and cover technique, shifting the pocket from intermuscular to submuscular. Efficacy of the procedure was confirmed on 8-months follow-up positron emission tomography/computed tomography. DISCUSSION: The S-ICD shift and cover technique is safe and effective when performed in a patient with an infected intermuscular pocket. TAKE-HOME MESSAGE: Tailored strategies of S-ICD reimplantation should always be pursued in patients without fear of going beyond the serratus anterior muscle.
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