Hemiazygous coil placement for high-defibrillation thresholds in a patient with a right-sided implantable cardioverter defibrillator.

Journal Article (Journal Article)

A 41-year-old man underwent implantation of a right-sided implantable cardioverter defibrillator after removal of an infected left-sided system. Defibrillation threshold (DFT) testing on the right-sided system failed to convert ventricular fibrillation at maximum device output (35 J) compared with a DFT of less than 15 J on the previous left-sided system. A single-coil lead was selectively placed into the hemiazygous vein, which courses leftward of the spine in a posterior-anterior projection, resulting in an improved shocking vector and reduction in DFTs to less than 25 J.

Full Text

Duke Authors

Cited Authors

  • Nilsson, KR; Jackson, KP

Published Date

  • January 2012

Published In

Volume / Issue

  • 35 / 1

Start / End Page

  • e10 - e12

PubMed ID

  • 20723090

Electronic International Standard Serial Number (EISSN)

  • 1540-8159

Digital Object Identifier (DOI)

  • 10.1111/j.1540-8159.2010.02862.x


  • eng

Conference Location

  • United States