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Follow‐up X Rays Play a Key Role in Detecting Implantable Cardioverter Defibrillator Lead Fracture:
Author(s) -
MORISHIMA ITSURO,
SONE TAKAHITO,
TSUBOI HIDEYUKI,
KONDO JUNICHIRO,
MUKAWA HIROAKI
Publication year - 2003
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1046/j.1460-9592.2003.t01-1-00158.x
Subject(s) - medicine , lead (geology) , implantable cardioverter defibrillator , cardiology , geology , geomorphology
MORISHIMA, I., et al .: Follow‐up X Rays Play a Key Role in Detecting Implantable Cardioverter Defibrillator Lead Fracture: A Case of Incessant Inappropriate Shocks Due to Lead Fracture.A patient with an implantable cardioverter defibrillator (ICD) received incessant inappropriate shocks due to a lead fracture 3 years after implantation. Routine lead measurements at 3‐month intervals had shown no abnormal findings even at the most recent measurement performed 2 months prior to the event. In contrast, serial observation of chest X rays clearly disclosed progressive lead narrowing starting 11 months prior to the event. This case indicates the importance of the routine chest X rays in long‐term follow‐up of ICDs and sets a precedent for interpreting lead narrowing in such X rays. (PACE 2003; 26[pt. I]:911–913)