title: Transvenous cardioverter-defibrillator implantation with a double coil lead via persistent left superior vena cava.
abstract: A dual-coil defibrillation lead was inserted in a 64-year-old male through a persistent left superior vena cava draining into the coronary sinus. The lead, connected to a cardioverter-defibrillator (ICD) implanted in the left pectoral area, was looped in the right atrium positioning the proximal and distal lead coils in the coronary sinus and right ventricular outflow track respectively and resulting in a low and stable defibrillation threshold. Because of its relative ease and effectiveness, this procedure may be recommended in patients with persistent left superior vena cava requiring an ICD implant.
authors.affiliation: Division of Cardiology, Spedali Riuniti, Livorno, Italy. luca.paperini@tin.it
authors.forename: Luca
authors.initials: L
authors.lastname: Paperini
authors.forename: Enrico
authors.initials: E
authors.lastname: Pardini
authors.forename: Alberto Genovesi
authors.initials: AG
authors.lastname: Ebert
authors.forename: Michele
authors.initials: M
authors.lastname: Galli
mesh_terms: D000792:Angiography; D001165:Arteriovenous Malformations / Q000175:diagnosis / Q000628:therapy*; D017147:Defibrillators, Implantable; D004636:Emergency Service, Hospital; D005500:Follow-Up Studies; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011654:Pulmonary Edema / Q000175:diagnosis / Q000209:etiology; D018570:Risk Assessment; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000002:abnormalities*; D014683:Vena Cava, Superior / Q000002:abnormalities*; D014693:Ventricular Fibrillation / Q000175:diagnosis / Q000628:therapy*