Additional coronary sinus defibrillation lead with a right pectoral ICD and high DFT: A case report

We report the case of a 63-year-old man with ischemic cardiomyopathy having an implantable cardioverter defibrillator (ICD) implanted for repeated ventricular tachycardia (VT). After several revisions of the ICD lead, a thrombosis of the left venous system was diagnosed. A right pectoral ICD device...

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Bibliographic Details
Published in:Herzschrittmachertherapie & Elektrophysiologie 2011-06, Vol.22 (2), p.121-123
Main Authors: Strauss, M., Kleemann, T., Weisse, U., Sack, F.-U., Zahn, R.
Format: Article
Language:English
Subjects:
Cardiac Imaging
Cardiac Surgery
Cardiology
Case Report
Coronary Sinus
Defibrillators, Implantable
Electrodes, Implanted
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Prosthesis Implantation - methods
Tachycardia, Ventricular - diagnosis
Tachycardia, Ventricular - prevention & control
Treatment Outcome
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Description
Summary:We report the case of a 63-year-old man with ischemic cardiomyopathy having an implantable cardioverter defibrillator (ICD) implanted for repeated ventricular tachycardia (VT). After several revisions of the ICD lead, a thrombosis of the left venous system was diagnosed. A right pectoral ICD device was implanted, and a sufficient defibrillation threshold (DFT) could not be achieved during the operation. Thus, a further defibrillation lead was implanted into the coronary sinus, which successfully terminated ventricular fibrillation.
ISSN:0938-7412
1435-1544
DOI:10.1007/s00399-011-0134-1