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

Journal articles  - Journal Article
Nilsson, KR; Jackson, KP
Published in: Pacing Clin Electrophysiol
January 2012

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.

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Published In

Pacing Clin Electrophysiol

DOI

EISSN

1540-8159

Publication Date

January 2012

Volume

35

Issue

1

Start / End Page

e10 / e12

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Male
  • Humans
  • Heart Failure
  • Electrodes, Implanted
  • Differential Threshold
  • Defibrillators, Implantable
  • Cardiovascular System & Hematology
  • Azygos Vein
  • Adult
 

Citation

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Nilsson, K. R., & Jackson, K. P. (2012). Hemiazygous coil placement for high-defibrillation thresholds in a patient with a right-sided implantable cardioverter defibrillator. Pacing Clin Electrophysiol, 35(1), e10–e12. https://doi.org/10.1111/j.1540-8159.2010.02862.x
Nilsson, Kent R., and Kevin P. Jackson. “Hemiazygous coil placement for high-defibrillation thresholds in a patient with a right-sided implantable cardioverter defibrillator.Pacing Clin Electrophysiol 35, no. 1 (January 2012): e10–12. https://doi.org/10.1111/j.1540-8159.2010.02862.x.
Nilsson, Kent R., and Kevin P. Jackson. “Hemiazygous coil placement for high-defibrillation thresholds in a patient with a right-sided implantable cardioverter defibrillator.Pacing Clin Electrophysiol, vol. 35, no. 1, Jan. 2012, pp. e10–12. Pubmed, doi:10.1111/j.1540-8159.2010.02862.x.

Published In

Pacing Clin Electrophysiol

DOI

EISSN

1540-8159

Publication Date

January 2012

Volume

35

Issue

1

Start / End Page

e10 / e12

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Male
  • Humans
  • Heart Failure
  • Electrodes, Implanted
  • Differential Threshold
  • Defibrillators, Implantable
  • Cardiovascular System & Hematology
  • Azygos Vein
  • Adult