{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T15:15:50Z","timestamp":1784042150054,"version":"3.55.0"},"reference-count":12,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T00:00:00Z","timestamp":1744329600000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Arrhythmia"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Subcutaneous implantable cardioverter\u2010defibrillator (S\u2010ICD) has been reported to be non\u2010inferior to transvenous ICD (TV\u2010ICD) in terms of device\u2010related complications and inappropriate shock (IAS). We aimed to evaluate the long\u2010term clinical outcomes of S\u2010ICD compared with TV\u2010ICD in Japanese patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We studied 315 consecutive patients (TV\u2010ICD, 167; S\u2010ICD, 148) who underwent ICD implantation. A propensity score matching analysis was performed to select patient subgroups for comparison (104 patients in each group). Clinical outcomes, including appropriate and inappropriate ICD therapy, procedure\u2010 and lead\u2010related complications, and mortality, were compared between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      During follow\u2010up (median, 1458 [interquartile range, 1353\u20131572] days), the cumulative incidence of appropriate shock therapy was 9.6% and 8.7% in the S\u2010ICD and TV\u2010ICD groups, respectively (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.94). Although the S\u2010ICD group tended to have a higher IAS than the TV\u2010ICD group (5.8% vs. 1.9%), the difference was not significant (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.19). Conversely, the cumulative incidence of procedural and lead\u2010related complications was significantly lower in the S\u2010ICD group (2.9% vs. 9.6%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02). Notably, lead\u2010related complications were more common in the TV\u2010ICD group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.05). There was no difference in all\u2010cause mortality between the two groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.75), and heart failure exacerbation was the most common cause of death in both groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In propensity score\u2010matched Japanese patients with S\u2010ICD, the cumulative incidence of appropriate shock and mortality was comparable to those with TV\u2010ICD. There was no significant difference in the rate of IAS. Notably, patients with S\u2010ICD had fewer lead\u2010related complications than those with TV\u2010ICD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/joa3.70063","type":"journal-article","created":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T12:22:51Z","timestamp":1744374171000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Long\u2010term safety and efficacy of subcutaneous implantable cardioverter\u2010defibrillator compared with transvenous implantable cardioverter\u2010defibrillator in propensity score\u2010matched patients from Japan"],"prefix":"10.1002","volume":"41","author":[{"given":"Yuki","family":"Konno","sequence":"first","affiliation":[{"name":"Department of Cardiology and Nephrology Hirosaki University Graduate School of Medicine  Hirosaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9866-2325","authenticated-orcid":false,"given":"Shingo","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Nephrology Hirosaki University Graduate School of Medicine  Hirosaki Japan"},{"name":"Department of Cardiac Remote Management System Hirosaki University Graduate School of Medicine  Hirosaki Japan"},{"name":"Department of Advanced Management of Cardiac Arrhythmias Hirosaki University Graduate School of Medicine  Hirosaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuji","family":"Ishida","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Nephrology Hirosaki University Graduate School of Medicine  Hirosaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuichi","family":"Toyama","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Nephrology Hirosaki University Graduate School of Medicine  Hirosaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimitaka","family":"Nishizaki","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Nephrology Hirosaki University Graduate School of Medicine  Hirosaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4363-0259","authenticated-orcid":false,"given":"Takahiko","family":"Kinjo","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Nephrology Hirosaki University Graduate School of Medicine  Hirosaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taihei","family":"Itoh","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Nephrology Hirosaki University Graduate School of Medicine  Hirosaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0229-0569","authenticated-orcid":false,"given":"Masaomi","family":"Kimura","sequence":"additional","affiliation":[{"name":"Department of Advanced Management of Cardiac Arrhythmias Hirosaki University Graduate School of Medicine  Hirosaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazufumi","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Nephrology Hirosaki University Graduate School of Medicine  Hirosaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshihiro","family":"Iwasaki","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Nephrology Hirosaki University Graduate School of Medicine  Hirosaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hitoshi","family":"Umezaki","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Nephrology Hirosaki University Graduate School of Medicine  Hirosaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shun","family":"Hirosawa","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Nephrology Hirosaki University Graduate School of Medicine  Hirosaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8149-3043","authenticated-orcid":false,"given":"Hirofumi","family":"Tomita","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Nephrology Hirosaki University Graduate School of Medicine  Hirosaki Japan"},{"name":"Department of Cardiac Remote Management System Hirosaki University Graduate School of Medicine  Hirosaki Japan"},{"name":"Department of Advanced Management of Cardiac Arrhythmias Hirosaki University Graduate School of Medicine  Hirosaki Japan"},{"name":"Department of Advanced Therapeutics for Cardiovascular Diseases Hirosaki University Graduate School of Medicine  Hirosaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1915932"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.7326\/M22\u20101566"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2017.07.017"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-020-00929-1"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2018.05.011"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.120.048728"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.15420\/aer.2020.47"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ\u201020\u20100637"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2017.12.026"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehab921"},{"key":"e_1_2_9_12_1","first-page":"S1547","article-title":"SMART pass automatic deactivation of subcutaneous implantable cardioverter\u2010defibrillators","author":"Ishiwata M","year":"2024","journal-title":"Heart Rhythm"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2022.07.031"}],"container-title":["Journal of Arrhythmia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/joa3.70063","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T14:58:04Z","timestamp":1764169084000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/joa3.70063"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1002\/joa3.70063"],"URL":"https:\/\/doi.org\/10.1002\/joa3.70063","archive":["Portico"],"relation":{},"ISSN":["1880-4276","1883-2148"],"issn-type":[{"value":"1880-4276","type":"print"},{"value":"1883-2148","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"2024-12-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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