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Use of a Custom‐Designed Adapter to Manage ICD Lead Fracture
Author(s) -
SCHLIAMSER JORGE E.,
SALEEM MOEEN A.,
GOLDBERGER JEFFREY J.
Publication year - 2009
Publication title -
journal of cardiovascular electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.193
H-Index - 138
eISSN - 1540-8167
pISSN - 1045-3873
DOI - 10.1111/j.1540-8167.2009.01463.x
Subject(s) - medicine , lead (geology) , implantable cardioverter defibrillator , cable gland , adapter (computing) , electromagnetic coil , ischemic cardiomyopathy , cardiology , cardiomyopathy , heart failure , computer hardware , mechanical engineering , electrical engineering , computer science , engineering , ejection fraction , geomorphology , geology
We report the case of a 72‐year‐old patient with ischemic cardiomyopathy who was found to have a lead fracture in the RV coil DF‐1 connector of an integrated bipolar implantable cardioverter‐defibrillator (ICD) lead system at the time of upgrade to a biventricular ICD. Due to the redundant connection of the RV coil to the DF‐1 connector and the ring on the IS‐1 connector, a custom‐designed adapter was used to exclude the site of fracture. This novel solution spared the patient the potential risks of lead extraction or abandoning the fractured ICD lead. In this way, pacing and defibrillating capabilities were fully restored, providing the patient 6 years of optimal device functioning.