A plea for the single-lead ICD with atrial sensing due to anatomical considerations.
We present the case of a 46-year old male patient suffering from non-ischemic cardiomyopathy and intermittent atrial tachycardia. According to guidelines an implantable cardioverter defibrillator (ICD) was planned to implant through the left subclavian vein. During the procedure the angiography revealed a persistent left superior vena cava (PLSVC) with moderate stenosis of the subclavian vein. Due to this we decided not to implant a dual chamber ICD but to implant a single chamber lead with additional atrial sensing capacity. The procedure as well as the follow-up was uneventful. Follow-up revealed good ventricular as well as atrial signals.
First Department of Internal Medicine, Medical Faculty Mannheim, University Heidelberg, Mannheim, Germany. ibrahim.akin@umm.de.
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D009202:Cardiomyopathies / Q000000981:diagnostic imaging* / Q000601:surgery; D017147:Defibrillators, Implantable; D006325:Heart Atria / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013612:Tachycardia, Ectopic Atrial / Q000000981:diagnostic imaging* / Q000601:surgery; D014683:Vena Cava, Superior / Q000000981:diagnostic imaging