Inclusion Criteria:  Patient is able to provide a written informed consent. Patient is scheduled to have an elective SICD implantation procedure. Patient has none of the exclusion criteria  Exclusion Criteria:  Patient is unable to provide a written informed consent. Patient is younger than 18 years old. Patients with prior thoracotomy or other thoracic surgery altering anatomy. Patients with neurological deficits. Patients with impaired coagulation (Platelet count < 50,000 cells/mcl and/or INR > 1.4). Patient on anticoagulation therapy. Patient's weight below 50 kg