October 21, 2020Pacing and Clinical ElectrophysiologyOpen Access

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

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Population

One 26-year-old Brugada patient with an S-ICD

Design

Case report

Authors

KGKlaus‐Jürgen GutlebenHeart and Diabetes Center North Rhine-Westphalia VNValjbona NelovicHerford Hospital KPKrzysztof PujdakHerford Hospital

Discussion

Member takes

Implication

S-ICD lead fracture with fibrous encapsulation may complicate revisions; leaves open durability questions in young Brugada patients.

Structured PICO

Population

n=1; 26-year-old male patient with Brugada syndrome and two prior transvenous lead-related complications with conventional defibrillators, presenting 6 months after subcutaneous implantable cardioverter defibrillator (S-ICD) implantation.

Intervention

S-ICD lead revision and exchange procedure

Outcome

S-ICD lead fracture and surgical lead extraction difficulty due to fibrous tissuesafety

This case highlights the risk of very early S-ICD lead fracture and demonstrates that severe fibrous tissue encapsulation can occur rapidly, complicating surgical lead extraction.

Cite This Study

Gutleben et al. (2020) studied this question.

synapsesocial.com/papers/6a6fd4255d37378ac1dce200 https://doi.org/10.1111/pace.14101

Topics

Cardiac device therapy

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

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

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

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider