Implantation of single lead cardioverter defibrillator with floating atrial sensing dipole in a pregnant patient without using fluoroscopy

• Main Authors: Fabio Quartieri, Daniele Giacopelli, Matteo Iori, Nicola Bottoni
• Format: Article
• Language: English
• Published: Elsevier 2016-03-01
• Series: Indian Pacing and Electrophysiology Journal
• Subjects: Implantable cardioverter defibrillator; Pregnancy; Electro-anatomic mapping; Non-fluoroscopy imaging
• Online Access: http://www.sciencedirect.com/science/article/pii/S0972629215300188
• ISSN: 0972-6292

In this case report, we look into the implant procedure of a single-lead ICD with floating atrial sensing dipole in a pregnant woman, without using fluoroscopy. This system benefits the proper positioning of the lead. This is possible thanks to the simultaneous display of both the atrial and ventricular dipoles on the electro-anatomical mapping system. This technique may be taken into consideration for the few rare cases where fluoroscopy is absolutely contraindicated.