Key result
Subcutaneous transvenous coil leads successfully lower defibrillation thresholds in complex ICD cases.
Why the study?
In complex cases of implantable cardioverter defibrillator implantation, additional subcutaneous array leads are commonly used to lower the defibrillation threshold.
Does the use of transvenous coil electrodes as single element subcutaneous array leads lower the defibrillation threshold in complex ICD cases?
Population
Patients with implantable cardioverter defibrillators requiring lowered defibrillation threshold in complex cases
Comparison
Transvenous coil electrodes as single element subcutaneous array leads vs standard subcutaneous array leads
Design
Case report
Authors
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May offer bailout option in refractory high-DFT ICD cases; leaves open safety and efficacy for prospective study.
Case Report
Does the use of transvenous coil electrodes as single element subcutaneous array leads lower the defibrillation threshold in complex ICD cases?
Transvenous coil electrodes can be successfully repurposed as single element subcutaneous array leads to lower defibrillation thresholds in complex ICD cases.
Juchem et al. (2009) conducted a case report in High defibrillation threshold in implantable cardioverter defibrillator patients. Transvenous coil electrodes as single element subcutaneous array leads was evaluated on Lowering the defibrillation threshold (DFT). Transvenous coil electrodes were successfully used as single element subcutaneous array leads to lower the defibrillation threshold in complex implantable cardioverter defibrillator cases.
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