Introduction: A case of difficult RV lead placement of single chamber ICD with (ASD) Amplatzer septal occluder device delivery system. Implantation of pacemaker leads can be challenging sometimes. Various non-conventional tools have been used in such difficult cases.
Case report: We report a case of single chamber ICD implantation in a patient with severe LV dysfunction as primary prevention strategy where RV lead placement was done with the use of 80 cm 10 F delivery system of ASD septal occluder amplatzer device.
Conclusion: Innovative lead placement strategies with the use of appropriately selected tools is helpful in facilitating difficult cases.