Abstract
The subcutaneous implantable cardioverter-defibrillator (S-ICD) is a proven alternative to transvenous implantable cardioverter-defibrillator systems. One critique of S-ICD use, however, has been the time required for implantation. Here, we discuss the use of an alternative surgical draping technique to reduce preparation time for device implantation.
Highlights
One critique of subcutaneous implantable cardioverter-defibrillator (S-implantable cardioverter-defibrillator (ICD)) use, has been the time required for implantation
Though the two-incision technique has reduced the time needed for implantation, overall laboratory utilization remains significant as compared with during transvenous ICD implant.[3]
Procedure efficiency must recognize the burden of care required in the laboratory or operating room (OR), as well as the total number of laboratory personnel required
Summary
The subcutaneous implantable cardioverter-defibrillator (S-ICD) is a proven alternative to transvenous implantable cardioverter-defibrillator (ICD) systems.[1,2] One critique of S-ICD use, has been the time required for implantation. Though the two-incision technique has reduced the time needed for implantation, overall laboratory utilization remains significant as compared with during transvenous ICD implant.[3] Implantation of an S-ICD requires extensive surgical preparation to accommodate the multiple incisions. Traditional methods of surgical site preparation cover the entire thorax from the sternal notch to the naval. These techniques require two scrub nurses to adequately cleanse, prepare, and drape the entire region. Relative to transvenous ICD implant preparation, this demands more intensive resources in terms of both time and nursing support
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