We report a 63-year-old patient with prior coronary artery bypass surgery and recent history of recurrent hospital admissions for refractory heart failure because of ischemic cardiomyopathy and sustained ventricular tachycardia. The patient underwent ICD implantation through left subclavian vein approach (Medtronic, single chamber, model-Maximo II VR, D284VRC, with 6947 ventricular active fixat...