title: Placement of a defibrillation lead in the left subclavian vein from the right cephalic vein.
abstract: This case report highlights the feasibility and stability of transvenous placement of a second defibrillation lead in the left subclavian vein from a right cephalic vein approach. This was undertaken in a right-sided implant of an active can cardioverter defibrillator to lower defibrillation thresholds that would have otherwise precluded implant.
authors.affiliation: University of Pittsburgh, Pennsylvania, USA.
authors.forename: A A
authors.initials: AA
authors.lastname: Shalaby
authors.forename: P A
authors.initials: PA
authors.lastname: Demers
authors.forename: P T
authors.initials: PT
authors.lastname: Sager
authors.forename: M M
authors.initials: MM
authors.lastname: Bersohn
mesh_terms: D016121:Brachiocephalic Veins; D002311:Cardiomyopathy, Dilated / Q000628:therapy; D017147:Defibrillators, Implantable; D006333:Heart Failure / Q000628:therapy; D006801:Humans; D006973:Hypertension / Q000628:therapy; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000379:methods*; D013350:Subclavian Vein