AI Article Synopsis
- Implantable cardioverter defibrillator (ICD) lead fractures are rare but can cause inappropriate shocks, and early occurrences post-implant are very unusual.
- A 53-year-old male with hypertrophic cardiomyopathy received an inappropriate shock just 4 days after ICD implantation due to a lead fracture, which was successfully extracted and replaced without immediate complications.
- Early lead fractures highlight the need for clinicians to be vigilant, and remote monitoring can help detect these issues promptly.
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.
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| http://dx.doi.org/10.1111/pace.15103 | DOI Listing |
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