A plea for the single-lead ICD with atrial sensing due to anatomical considerations

We present the case of a 46-year old male patient suffering from non-ischemic cardiomyopathy and intermittent atrial tachycardia. According to guidelines an implantable cardioverter defibrillator (ICD) was planned to implant through the left subclavian vein. During the procedure the angiography reve...

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Bibliographic Details
Main Authors: Fastner, Christian (Author) , Behnes, Michael (Author) , Kuschyk, Jürgen (Author) , Akın, Ibrahim (Author)
Format: Article (Journal)
Language:English
Published: 2015
In: European review for medical and pharmacological sciences
Year: 2015, Volume: 19, Issue: 7, Pages: 1249-1251
ISSN:2284-0729
Online Access:Verlag, Volltext: http://www.europeanreview.org/article/8744
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Author Notes:C. Fastner, M. Behnes, J. Kuschyk, I. Akin
Description
Summary:We present the case of a 46-year old male patient suffering from non-ischemic cardiomyopathy and intermittent atrial tachycardia. According to guidelines an implantable cardioverter defibrillator (ICD) was planned to implant through the left subclavian vein. During the procedure the angiography revealed a persistent left superior vena cava (PLSVC) with moderate stenosis of the subclavian vein. Due to this we decided not to implant a dual chamber ICD but to implant a single chamber lead with additional atrial sensing capacity. The procedure as well as the follow-up was uneventful. Follow-up revealed good ventricular as well as atrial signals.
Item Description:Gesehen am 03.11.2017
Physical Description:Online Resource
ISSN:2284-0729