Key result
New thinner pacemaker leads (ThinLine) designed to minimize subclavian crush syndrome remain susceptible to this complication, similar to conventional leads.
Subclavian crush syndrome can occur even with newer, thinner pacemaker leads designed to minimize this complication.
Vigilance for subclavian crush remains essential with ThinLine leads; this case report leaves open whether thinner designs meaningfully reduce risk.
Subclavian crush syndrome is a well-described cause of pacemaker lead failure resulting from an entrapment of a lead or leads between the clavicle and the first rib. A new thinner lead (ThinLine) was designed to minimize this complication. Our patient developed atrial and ventricular lead subclavian crush syndrome with both conventional and thin leads.
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Weiner et al. (1999) studied this question. New thinner pacemaker leads (ThinLine) designed to minimize subclavian crush syndrome remain susceptible to this complication, similar to conventional leads.
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