Work

Management of Gunshot Injury Involving Cardiac Implantable Electronic Device

Year: 2025

Type: article

Abstract: BACKGROUND: Firearm injuries involving cardiac implantable electronic devices (CIEDs) present unique challenges. CASE SUMMARY: We report a case of a 69-year-old male with a self-inflicted gunshot wound to the chest, which directly damaged his implantable cardioverter-defibrillator (ICD). After we had achieved hemodynamic stability in this patient, we extracted the ICD, in which a retained bullet was discovered embedded in the ICD's circuit board. After the damaged ICD system was removed, a new system was implanted on the contralateral side. DISCUSSION: This case underscores the complexities of managing firearm injuries involving CIEDs, highlighting considerations such as pacemaker dependency, infection risk, battery leakage, and procedural challenges. A multidisciplinary approach is crucial for optimal patient outcomes.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.103798

Authors: Saad A. Ali, Nektarios Vasilottos, Mithilesh K. Das, Tanyanan Tanawuttiwat

Institutions: Indiana University Indianapolis, Indiana University 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: gold

Estimated APC paid: $850