Disclosed herein is a method of optimizing the implantation of an implantable medical lead into a patient to optimize electrotherapy administered via the lead. The method includes: inserting the lead into the patient, the lead including a first electrode providing a second electrode in the patient, wherein the second electrode is not part of the lead generating an electrical vector between the first electrode and second electrode, the electrical vector being generated as the lead is being implanted analyzing the electrical vector as the lead is being implanted and optimizing the implantation of the lead based off of the analysis of the electrical vector to optimize electrotherapy administered via the lead.
