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What is a subcutaneous ICD?

Simpler version is available at:    • What is a subcutaneous ICD?   Discussion on a purely subcutaneous implantable cardioverter defibrillator. Subcutaneous ICD is the term used to designate ICDs which are purely subcutaneous, without any intracardiac leads. It was designed aiming to avoid the problems due to an intravascular lead for defibrillation, which is used in conventional ICD. An S-ICD uses a subcutaneous lead in the parasternal location and the defibrillation current passes between the lead and the active can implanted in the infra-axillary region. As there is no intracardiac lead, it has only facility for short period back up bradycardia pacing.