Key result
Gooseneck snare and oversized TightRail safely extract a fractured ICD lead 4 days post-implant.
Why the study?
ICD lead fractures are rare and serious complications leading to inappropriate shocks, and their early occurrence post-implantation is exceptionally uncommon.
Case Report (n=1)
Very early ICD lead fractures can occur shortly after implantation and can be successfully managed with extraction and reimplantation.
Early ICD lead fracture extraction appears feasible in isolated cases; leaves open true incidence, mechanisms, and need for prospective data.
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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Shawki et al. (2024) conducted a case report in Hypertrophic cardiomyopathy with ICD lead fracture (n=1). Lead extraction and replacement using a gooseneck snare and oversized TightRail was evaluated on Successful extraction and replacement with no immediate complications. A very early ICD lead fracture occurring 4 days post-implantation was successfully managed with extraction and reimplantation using a gooseneck snare and oversized TightRail without complications.
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