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Europace Advance Access published online on January 14, 2009
Europace, doi:10.1093/europace/eun382
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

CASE REPORT

Successful use of transvenous coil electrodes as single element subcutaneous array leads

Gerd Juchem1,*, Marion Lang1, Karl Golczyk1, Michael Ulbrich2, Bruno Reichart1 and Peter Lamm1

1 Department of Cardiac Surgery, Ludwig-Maximilians-University Munich, Marchioninistr. 15, 81377 Munich, Germany; 2 Department of Cardiology, Ludwig-Maximilians-University Munich, Munich, Germany

For implantable cardioverter defibrillator a 10 J safety margin between the defibrillation threshold (DFT) and the maximum output of the device is intended. In complex cases, the additional placement of a subcutaneous array lead is a common strategy for lowering the DFT. We report the successful use of transvenous coil electrodes as single element subcutaneous array leads in order to lower the DFT.

* Correspondence author. Tel: +49 89 7095 6462, Fax: +49 89 7095 8873, Email: gerd.juchem{at}med.uni-muenchen.de


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