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Updated: May 6, 2026

A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
Published on: February 28, 2012
First-in-Man Surgical Extravascular-ICD Implantation: Suturing the Defibrillation Lead to the Heart Wall Post
Massimo Moltrasio1, Matteo Biroli2, Marco Schiavone1
1Department of Clinical Electrophysiology and Cardiac Pacing, Monzino Cardiology Center, Scientific institute for Research, Hospitalization and Health Care (IRCCS), Milan, Italy.
Abstract:
We present the first worldwide case of a hybrid surgical-percutaneous procedure involving transvenous lead extraction, concomitant tricuspid valve repair, implantation of an atrioventricular (AV) leadless pacemaker, and extravascular implantable cardioverter-defibrillator placement with suturing of the defibrillation lead to the heart wall. Multiple interventions were necessary as a result of active endocarditis, congenital complete AV block, and ventricular arrhythmia secondary prevention.
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