Novel Packaging Strategies

Reducing device-related morbidity and simplifying the implant procedure as well as patient follow-up have been and remain the major goals of ICD therapy. Two novel designs are currently being investigated that may aid in achieving these goals. The first utilizes a subcutaneous approach without transvenous electrodes. The second device is implanted percutaneously and the entire system resides in the vasculature. Ironically, both have at least a portion of the generator located in the abdomen. The irony of these novel approaches is that one eschews the veins while the other is purely venous, including the generator.

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