Eur Rev Med Pharmacol Sci 2015; 19 (7): 1249-1251

A plea for the single-lead ICD with atrial sensing due to anatomical considerations

C. Fastner, M. Behnes, J. Kuschyk, I. Akin

First Department of Internal Medicine, Medical Faculty Mannheim, University Heidelberg, Mannheim, Germany. ibrahim.akin@umm.de

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.

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To cite this article

C. Fastner, M. Behnes, J. Kuschyk, I. Akin
A plea for the single-lead ICD with atrial sensing due to anatomical considerations

Eur Rev Med Pharmacol Sci
Year: 2015
Vol. 19 - N. 7
Pages: 1249-1251

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