TY - JOUR
AR - JCMCR-2020-3-103
TI - Subcutaneous Implantable Cardioverter Defibrillator and LifeVest Saving Lives in Challenging Scenarios
AU - Domenico, Facchin
AU - Tioni , C
AU - Daleffe , E
AU - Rebellato , L
AU - Antonutti , M
AU - Sut , D
AU - Proclemer , A
JO - Journal of Clinical and Medical Case Reports
PY - 2020
DA - Thu 12, Nov 2020
SN - 2733-2268
DO - http://dx.doi.org/10.31487/j.JCMCR.2020.03.03
UR - https://www.sciencerepository.org/subcutaneous-implantable-cardioverter-defibrillator-and-lifevest-saving-lives_JCMCR-2020-3-103 
KW - Subcutaneous ICD, infective complications, septic shock, wearable cardioverter defibrillator, case report
AB - Introduction: According to guidelines, ICD should be implanted in selected patients for primary or
secondary prevention. The increasing number of procedures leads to a growth of infective complications.
Case Summary: We report two cases of ICD implantation complicated with severe infections. The first
procedure was complicated by endocarditis and septic shock, the second one by septic shock. After
antibiotics and ICD explantation, a wearable cardioverter defibrillator (WCD) was used as a bridge to
subcutaneous ICD (S-ICD).
Conclusion: These two cases demonstrate the benefits of the S-ICD, but also the chance to treat high-risk
patients with WCD as bridge-to-procedure, allowing full recovery before a new implantation.