Avoid Transvenous Leads in Appropriate Subjects
Avoid Transvenous Leads in Appropriate Subjects
The purpose of the study is to compare standard, single chamber transvenous ICD to
 sub-cutaneous ICD in occurrence of perioperative and long term device related complications
 and failed appropriate clinical shocks and arrhythmic death.
Inclusion Criteria: patient must satisfy any ONE of the following two criteria:

 1. Patient is ≥ 18 - 60 years old AND has a standard indication for ICD; OR

 2. Patient is ≥ 18 years old AND has any one of the following present:

 -  An inherited arrhythmia syndrome (i.e. Long QT, Brugada, ARVC, hypertrophic or
 dilated cardiomyopathy, early repolarization syndrome, idiopathic ventricular
 fibrillation, etc.)

 -  Prior pacemaker or ICD removal for infection

 -  Need for hemodialysis

 -  Prior heart valve surgery (repair or replacement)

 -  Chronic obstructive pulmonary disease (with FEV1 < 1.5 L)

 Exclusion Criteria:

 -  Mechanical tricuspid valve

 -  Fontan repair

 -  Presence of an intra-cardiac shunt

 -  Known lack of upper extremity venous access

 -  Need for cardiac pacing for bradycardia indication

 -  PR interval of > 240 msec

 -  Patients with permanent pacemaker

 -  Clinical indication for biventricular pacing

 -  Patients unwilling to provide informed consent or comply with follow-up

 -  Pregnant at time of enrollment and implant

 -  Patients who currently have a ventricular assist device (i.e. LVAD)