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A Case of Very Early Lead Fracture in an Implantable Cardioverter‐Defibrillator: Management and Follow‐Up

Year: 2024

Type: article

Abstract: INTRODUCTION: Implantable cardioverter defibrillators (ICDs) lead fractures are rare but serious complications, often leading to inappropriate shocks. The early occurrence of such fractures post-implantation is exceptionally uncommon. METHODS AND RESULTS: We present a case of a 53-year-old male with hypertrophic cardiomyopathy who experienced an inappropriate shock due to a lead fracture just 4 days after ICD implantation. The fractured lead was successfully extracted and replaced using a gooseneck snare passed through an oversized TightRail with no immediate complications. CONCLUSION: Early lead fractures can occur shortly after ICD implantation, leading to inappropriate shocks. Successful management, including extraction and reimplantation, is possible even in these early cases. Clinicians should remain vigilant, and remote monitoring can play a crucial role in the timely detection of such complications.

Source: Pacing and Clinical Electrophysiology

DOI: 10.1111/pace.15103

Authors: Marwan Shawki, Sam Mirzaee, Cameron McCormack, Gareth J. Wynn, Han S. Lim

Institutions: Austin Hospital, Austin Health, Monash University, The Royal Melbourne Hospital, The University of Melbourne, Northern Health

Language: English

Topic: Cardiac pacing and defibrillation studies

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

OpenAlex ID: W4404494647

FWCI:

Cites: 12

Cited by:

Related to: 10