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Fracture of an S‐ICD lead after two prior transvenous lead‐related complications with conventional defibrillators
Author(s) -
Gutleben KlausJürgen,
Nelovic Valjbona,
Pujdak Krzysztof,
Werner Marc,
Osmani Ibrahim,
Kähler Jan
Publication year - 2020
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 - 10.1111/pace.14101
Subject(s) - medicine , lead (geology) , implantable cardioverter defibrillator , shock (circulatory) , haemorrhagic shock , fracture (geology) , defibrillation , surgery , cardiology , geotechnical engineering , geomorphology , engineering , geology
Six months after subcutaneous implantable cardioverter defibrillator (S‐ICD) implantation a 26‐year‐old Brugada patient presented because of a beeping tone emitted by his device. Chest X‐ray displayed two functionless transvenous shock leads and the S‐ICD system with a lead fracture. During lead revision procedure, extensive preparation of the lead from unexpectedly firm surrounding fibrous tissue encapsulating the lead was necessary before it could be removed, and a new shock lead could be implanted. This is the first report of an S‐ICD lead exchange due to very early lead fracture and unexpectedly severe fibrous tissue hampering surgical lead extraction.