Recommended Citation
Raad M, Miletic K, Khan A, and Maskoun W. A hybrid subcutaneous and epicardial biventricular implantable cardiac defibrillator with an abdominal generator. HeartRhythm Case Rep 2022; 8(9):655-657.
Document Type
Article
Publication Date
9-1-2022
Publication Title
HeartRhythm Case Rep
PubMed ID
36147718
Volume
8
Issue
9
First Page
655
Last Page
657
COinS
Comments
Cardiac resynchronization therapy-defibrillator (CRT-D) devices are indicated for patients with moderate-to-severe left ventricular (LV) dysfunction to restore cardiac function, improve symptoms, and reduce morbidity and mortality. LV resynchronization is traditionally achieved through a pacing lead through the coronary sinus to a lateral branch and the defibrillator lead in the right ventricular (RV) apex. However, there is an w8% technique failure rate, in addition to patients who do not have favorable anatomy for a traditional approach like mechanical tricuspid valve, as well as patients who experience recurrent device infection endocarditis. Several hybrid approaches for CRT-D placement are not uncommon. We describe a case of a patient with various prior episodes of device endocarditis and limited transvenous options who has an indication for CRT-D device placement.