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Case Reports
. 2020 Dec;43(12):1491-1494.
doi: 10.1111/pace.14101. Epub 2020 Oct 30.

Fracture of an S-ICD lead after two prior transvenous lead-related complications with conventional defibrillators

Klaus-Jürgen Gutleben  1 , Valjbona Nelovic  1 , Krzysztof Pujdak  1 , Marc Werner  1 , Ibrahim Osmani  1 , Jan Kähler  1
Affiliations
Case Reports

Fracture of an S-ICD lead after two prior transvenous lead-related complications with conventional defibrillators

Klaus-Jürgen Gutleben et al. Pacing Clin Electrophysiol. 2020 Dec.

Abstract

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.

Keywords: implantable defibrillator; lead failure; subcutaneous defibrillator.

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