Abstract
A patient with ischaemic cardiomyopathy underwent implantable cardioverter defibrillator (ICD) extraction for a severe pocket infection and sepsis. During 5 weeks of critical medical care after device extraction, heart block and recurrent monomorphic ventricular tachycardia (VT) were managed with an ‘externalized' active fixation pacemaker lead and a resterilized ICD generator. This case demonstrates how a permanent pacing lead and an external ICD generator can provide reliable temporary pacing and automatic anti-tachycardia pacing for recurrent VT until a new device can be implanted and more permanent VT treatment options are feasible.
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