Implantation of an Extravascular Implantable Defibrillator Using a Substernal Lead in a Patient with Previous Cardiac Surgery

Figures

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  Figure 1:. A: A chest computed tomography scan showing the distance between the posterior border of the sternum and the anterior cardiac structures. B: Note the internal mammary arteries are not in proximity to the lateral border of the sternum.

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  Figure 2:. A chest X-ray taken after extravascular implantable cardioverter-defibrillator implantation showing the correct position of the lead substernally (B) and of the coils facing toward the patient’s right side, while the sensing electrodes (Ring 1/Ring 2) are facing toward the left (A).