title: Single-incision and single-element array electrode to lower the defibrillation threshold.
abstract: Occasional patients have excessive defibrillation energy requirements despite appropriate transvenous defibrillation lead position and the use of biphasic shocks. A single-element subcutaneous array electrode was implanted in 2 patients with a high defibrillation threshold. The array electrode was implanted through the same infraclavicular incision that was used for implantation of the transvenous lead. The defibrillation threshold decreased from 30 J to 15 J and from 24 J to 9 J with the subcutaneous array electrode.
authors.affiliation: Medical Department III, Eberhard-Karls-University, Tübingen, Germany. volker.kuehlkamp@uni-tuebingen.de
authors.forename: V
authors.initials: V
authors.lastname: Kühlkamp
authors.forename: K
authors.initials: K
authors.lastname: Khalighi
authors.forename: V
authors.initials: V
authors.lastname: Dörnberger
authors.forename: G
authors.initials: G
authors.lastname: Ziemer
mesh_terms: D002311:Cardiomyopathy, Dilated / Q000628:therapy; D017147:Defibrillators, Implantable; D004567:Electrodes, Implanted; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design