Bi-V ICD

A Bi-V ICD accomplishes all of the same items as the Bi-V pacemaker, but further protects the patient from life threatening arrhythmias.  The ICD can deliver a therapeutic dose of energy to the heart; this “shock” allows the normal rhythm to be re-established.  Newer techniques and technologies are always being developed, including the use of magnetic wire navigation using Stereotaxis^TM to optimize implantable device lead placement success.

Goals of an implant include placement of the LV lead in a coronary vein near the midlateral left ventricle with good lead stability, adequate thresholds, and no phrenic nerve stimulation; as well as methods to access difficult and tortuous veins, test multiple veins for the best pacing site, and avoid complications.