Abstract
An 84-year-old patient presented with both adequate and inadequate implantable cardioverter defibrillator (ICD) shocks. The patient had received a single chamber ICD 15 years ago after surviving a sudden cardiac arrest. After progression of the underlying ischemic cardiomyopathy an upgrade to CRT-D was executed 3 years before the incident reported here. The interrogation of the device now revealed both oversensing of artefacts in the RV channel and correctly diagnosed VF with subsequent ICD shock terminating the tachyarrhythmia. As battery power was poor it was decided to exchange the generator and to implant an additional pace/sense lead. Due to complete occlusion of both subclavian veins we decided to implant the additional lead using the transfemoral route. This is the first published case of implantation of an extra pace/sense lead via the transfemoral access in a patient with a defective pace/sense component of the ICD lead.
| Translated title of the contribution | Tailored solution for a defective ICD lead in a 84-year-old patient with complete obstruction of both subclavian veins |
|---|---|
| Original language | German |
| Pages (from-to) | 512-516 |
| Number of pages | 5 |
| Journal | Kardiologe |
| Volume | 6 |
| Issue number | 6 |
| DOIs | |
| State | Published - Dec 2012 |
| Externally published | Yes |