Implantation of a biventricular implantable cardioverter defibrillator via the femoral vein.
Permanent pacing with access gained via the femoral vein has been described since 1980. Here we describe implantation of a biventricular implantable cardioverter defibrillator (ICD) in a case where normal implantation using thoracic venous access was not possible due to anatomical anomalies. The advantages of this technique over epicardial pacing in such a case are discussed, as are the practical difficulties involved when applying this technique to the implantation of a biventricular ICD.
Jourdier
Louise
L
The Royal Brompton Hospital, London, UK. ljourdier@doctors.org.uk
Swinburn
Jon
J
Roberts
David
D
Clague
Jonathan
J
D017147:Defibrillators, Implantable; D005268:Femoral Vein; D006801:Humans; D008297:Male; D008875:Middle Aged; D017180:Tachycardia, Ventricular / Q000628:therapy*