Use of the retained guidewire technique facilitates left ventricular epicardial capture during biventricular defibrillator implantation.
We report a case of biventricular implantable cardioverter-defibrillator (ICD) insertion in which standard lead placement techniques could not achieve left ventricular capture. Protrusion of the guidewire beyond a venous stenosis provided adequate left ventricular capture.
Sherzer
Alex I
AI
Division of Cardiac Electrophysiology, Department of Medicine, Englewood Hospital and Medical Center, Englewood, New Jersey 07631, USA. Grant.Simons@EHMC.com
Feigenblum
David Y
DY
Pina
Jacqueline W
JW
Salka
Kelly A
KA
Simons
Grant R
GR
D000368:Aged; D001145:Arrhythmias, Cardiac / Q000000981:diagnostic imaging / Q000517:prevention & control*; D017147:Defibrillators, Implantable; D004567:Electrodes, Implanted; D006801:Humans; D008297:Male; D019919:Prosthesis Implantation / Q000295:instrumentation* / Q000379:methods*; D011859:Radiography; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging / Q000517:prevention & control*