Key result
Implantable loop recorder migrates into the pleural space after subcutaneous insertion.
Case Report
This report highlights a potential complication of implantable loop recorder insertion, specifically migration into the pleural space.
Rare ILR pleural migration after standard insertion reported; leaves open true incidence and need for technique refinements.
Implantable loop recorders (ILRs) are most commonly used in patients with unexplained palpitations or syncope as well as suspected or known atrial fibrillation. The device most commonly being used today is the Medtronic Reveal LINQ (Minneapolis, MN); with a volume of <1.2 cc, it is designed for insertion using a greatly simplified technique. Specifically, the ILR is provided preloaded into an insertion tool that is used to deliver the device subcutaneously through a small incision, which is then closed using surgical glue, surgical tape, sutures, or staples.
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Preminger et al. (2017) conducted a case report in Unexplained palpitations, syncope, or suspected/known atrial fibrillation. Implantable loop recorder (Medtronic Reveal LINQ) was evaluated. An implantable loop recorder migrated into the pleural space following subcutaneous insertion.
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