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. 2010 Feb 1;10(2):108–111.

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Copyright: © 2010 Jacob et al.

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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A: A posteroanterior Chest X-ray showing the ICD generator placed in right prepectoral region. Note the new ileofemoral RV defibrillation lead and the preexisting chronic RV defibrillation lead in the RV. Arrow pointing upwards shows the subclavian crush. Arrowhead shows the RV coil with the 25 cm extension in the subcutaneous tunnel. Figure B shows the new RV lead in the right iliac vein, making a U turn in the groin and traversing upward to the chest through the subcutaneous tunnel created. Figure C shows the RV coil in the subcutaneous tunnel and the Y-adaptor extension used to increase the length of the RV lead to reach the device. Note the RV pacing/sensing component and the IVC coil of the lead is capped.