Document Detail


Azygos vein lead implantation: a novel adjunctive technique for implantable cardioverter defibrillator placement.
MedLine Citation:
PMID:  15250862     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
High defibrillation thresholds (DFTs) occasionally are encountered during placement of implantable cardioverter defibrillators (ICDs). There are multiple strategies to lower DFTs in such patients, including reassessment of right ventricular lead position, alteration of the shock waveform, and implantation of subcutaneous arrays. This article describes a novel technique of implanting a high-voltage lead in the azygos vein. This procedure may serve as an adjunctive approach to reduce DFTs. The anatomic location of the azygos vein posterior to the heart provides a suitable shocking vector between the right ventricular electrode, a high-voltage lead placed in the azygos vein, and the ICD can.
Authors:
David Cesario; Mandeep Bhargava; Miguel Valderrábano; Gregg C Fonarow; Bruce Wilkoff; Kalyanam Shivkumar
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of cardiovascular electrophysiology     Volume:  15     ISSN:  1045-3873     ISO Abbreviation:  J. Cardiovasc. Electrophysiol.     Publication Date:  2004 Jul 
Date Detail:
Created Date:  2004-07-14     Completed Date:  2004-11-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9010756     Medline TA:  J Cardiovasc Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  780-3     Citation Subset:  IM    
Affiliation:
UCLA Cardiac Arrhythmia Center, Division of Cardiology, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California 90095-1679, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Azygos Vein*
Cardiomyopathies / therapy*
Cardiomyopathy, Dilated
Defibrillators, Implantable*
Electric Countershock / methods*
Humans
Male
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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