Use of a defibrillation coil in the coronary sinus to reduce ventricular defibrillation threshold

Br J Cardiol 2007;14:111-115 Leave a comment
Click any image to enlarge
Authors:

Although the majority of implantable cardioverter defibrillator (ICD) implants occur without complication, high defibrillation threshold (DFT) can occasionally be a problem. The usual resolution to this problem is to include a subcutaneous electrode in the defibrillation circuit. Use of the subcutaneous array, however, is unpopular as extensive subcutaneous dissection is time-consuming, uncomfortable for the patient and provides another focus for infection. We report the use of the coronary sinus for the placement of a second defibrillation shock coil in a patient with an unacceptably high DFT, which was successfully reduced.

Advertisement
Heart failure - BJC Learning programme
For healthcare professionals only

THERE ARE CURRENTLY NO COMMENTS FOR THIS ARTICLE - LEAVE A COMMENT