Related Experiment Video

Updated: Oct 29, 2026

A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
16:40

A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation

Published on: February 28, 2012

Left ventricular malposition of a transvenous cardioverter defibrillator lead: a 3-year follow-up

J Kusniec1, A Mazur, R Hirsch

  • 1Cardiology Division, Beilinson Medical Center, Petah Tiqva, Israel.

Pacing and Clinical Electrophysiology : PACE
|June 20, 1998
PubMed

Insights

A transvenous implantable cardioverter defibrillator lead was successfully placed in the left ventricle via an atrial septal defect. This case demonstrates a safe and effective management strategy with a 3-year uneventful follow-up.

Area of Science:

  • Cardiology
  • Medical Devices
  • Electrophysiology

Background:

  • Transvenous lead implantation is a standard procedure for implantable cardioverter defibrillators (ICDs).
  • Atrial septal defects (ASDs) can present unique challenges for lead placement.
  • Left ventricular lead malposition is a rare complication.

Observation:

  • A case report detailing a patient with an ASD requiring ICD implantation.
  • The transvenous ICD lead was intentionally directed through the ASD into the left ventricle.
  • The patient was managed with continuous warfarin anticoagulation.

Findings:

  • Successful left ventricular lead placement via an ASD was achieved.
  • The patient remained on warfarin anticoagulation throughout the follow-up period.
  • No adverse events or complications were observed during the 3-year follow-up.

Implications:

  • This case highlights a potential alternative approach for ICD lead placement in patients with ASDs.
  • Continuous anticoagulation with warfarin may be a viable strategy for managing such cases.
  • Further research is warranted to evaluate the long-term safety and efficacy of this technique.

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