{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T19:08:08Z","timestamp":1790708888973,"version":"4.1.0"},"reference-count":0,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The subcutaneous implantable cardioverter-defibrillator and extravascular implantable cardioverter-defibrillator do not require intravascular, intracardiac, or epicardial leads, making them attractive alternatives to transvenous implantable cardioverter defibrillators in patients without bradycardia pacing or cardiac resynchronization therapy indications. These systems are especially useful for patients with venous access challenges and those at risk for endovascular infections, including patients with renal failure or those who are immunocompromised. Women with prior or anticipated breast surgery, such as mastectomy or breast reconstruction surgery, or those who are lactating present unique anatomic, procedural, and post-operative quality-of-life considerations. This commentary provides a practical, scenario-based framework for managing this unique patient group. Key considerations include individualized incision and pulse generator planning, proactive multidisciplinary coordination, procedure-specific management, and shared decision-making in patients with prior or anticipated breast augmentation or reduction, pregnancy, lactation, mastectomy, radiation therapy, and breast imaging.<\/jats:p>","DOI":"10.1093\/europace\/euag274","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T11:39:21Z","timestamp":1790077161000},"source":"Crossref","is-referenced-by-count":0,"title":["Subcutaneous and Extravascular Implantable Cardioverter-Defibrillators: A Clinical Framework for Breast Surgery, Pregnancy, Lactation, Radiation Therapy, and Breast Imaging"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3810-8159","authenticated-orcid":false,"given":"Kamala P","family":"Tamirisa","sequence":"first","affiliation":[{"name":"Division of Cardiology, University of Texas Southwestern Medical Center , Dallas, Texas ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4652-7791","authenticated-orcid":false,"given":"Ian","family":"Crozier","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Christchurch Hospital , Christchurch ,","place":["New Zealand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4591-4220","authenticated-orcid":false,"given":"Lucas","family":"Boersma","sequence":"additional","affiliation":[{"name":"Cardiology Department, St. Antonius Hospital Nieuwegein\/Amsterdam University Medical Center ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6198-4670","authenticated-orcid":false,"given":"Jodie L","family":"Hurwitz","sequence":"additional","affiliation":[{"name":"North Texas Heart Center , Dallas, Texas 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,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2414-5450","authenticated-orcid":false,"given":"Devika","family":"Adusumilli","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Medical City Hospital , Fort Worth, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6508-4047","authenticated-orcid":false,"given":"Luigi","family":"DiBiase","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Montefiore Medical Center , Bronx, New York ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3561-0146","authenticated-orcid":false,"given":"Sana M","family":"Al-Khatib","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Duke University Medical Center , Durham, North Carolina 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