title: Additional coronary sinus defibrillation lead with a right pectoral ICD and high DFT : a case report.
abstract: We report the case of a 63-year-old man with ischemic cardiomyopathy having an implantable cardioverter defibrillator (ICD) implanted for repeated ventricular tachycardia (VT). After several revisions of the ICD lead, a thrombosis of the left venous system was diagnosed. A right pectoral ICD device was implanted, and a sufficient defibrillation threshold (DFT) could not be achieved during the operation. Thus, a further defibrillation lead was implanted into the coronary sinus, which successfully terminated ventricular fibrillation.
authors.affiliation: Arrhythmia Institute at the Heart Center Ludwigshafen, Cardiology, Deutschland. straussm@klilu.de
authors.forename: M
authors.initials: M
authors.lastname: Strauss
authors.forename: T
authors.initials: T
authors.lastname: Kleemann
authors.forename: U
authors.initials: U
authors.lastname: Weisse
authors.forename: F-U
authors.initials: FU
authors.lastname: Sack
authors.forename: R
authors.initials: R
authors.lastname: Zahn
mesh_terms: D054326:Coronary Sinus; D017147:Defibrillators, Implantable; D004567:Electrodes, Implanted; D006801:Humans; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000379:methods*; D017180:Tachycardia, Ventricular / Q000175:diagnosis / Q000517:prevention & control*; D016896:Treatment Outcome