Additional coronary sinus defibrillation lead with a right pectoral ICD and high DFT |
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Authors: | Dr M Strauss MD T Kleemann U Weisse F-U Sack R Zahn |
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Institution: | Arrhythmia Institute at the Heart Center Ludwigshafen, Cardiology, Deutschland. straussm@klilu.de |
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Abstract: | 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. |
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