Lead fracture and free-wall perforation in a patient with an implantable cardioverter-defibrillator.

Kwon, Osung; Kang, Se Hun; Park, Hyun Woo; Choi, Suk Won; Kim, Sung-Hwan; Kim, Ki-Hun; Jin, Eun-Sun; Nam, Gi-Byoung
Pacing and clinical electrophysiology : PACE
2012Jun ; 35 ( 6 ) :e167-9.
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Kwon, Osung -
Kang, Se Hun -
Park, Hyun Woo -
Choi, Suk Won -
Kim, Sung-Hwan -
Kim, Ki-Hun -
Jin, Eun-Sun -
Nam, Gi-Byoung -
ABSTRACT
Intracardiac lead fracture or free-wall perforation is a rare complication of implantable defibrillators. Complete disconnection of the fractured electrode has not been reported yet. Here, we report a case of lead fracture/disconnection and free-wall perforation, which occurred consecutively in a patient. CI - ??010, The Authors. Journal compilation ??012 Wiley Periodicals, Inc.
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MESH
Adult, Defibrillators, Implantable/*adverse effects, Device Removal, Electric Injuries/*etiology/prevention & control, Electrodes, Implanted/*adverse effects, *Equipment Failure, Foreign Bodies/*etiology/surgery, Heart Ventricles/*injuries/surgery, Humans, Male, Pericardial Effusion/*etiology/prevention & control
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An increasing threshold or impedance level could be the only and early sign of lead fracture during device follow-up.
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DOI
10.1111/j.1540-8159.2010.02956.x.
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ICD 03
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