The subcutaneous implantable cardioverter-defibrillator (S-ICD) is a safe alternative to transvenous ICD. We describe a submuscular S-ICD placement technique in a severely obese with an oversized chest. Submuscular configuration allows optimal system positioning and impendence values warranting a safe and effective shock transmission. This technique is safe and improves patients comfort.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5054481PMC
http://dx.doi.org/10.1002/ccr3.652DOI Listing

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