A Case of Riata(R) Dual Coil Defibrillator Lead Failure in a Patient with Ventricular Fibrillation.
10.4070/kcj.2013.43.5.336
- Author:
Kyu CHOI
1
;
Jung Hee KIM
;
Hyo Jin KIM
;
Se Ok LEE
;
Eun Young JANG
;
June Soo KIM
Author Information
1. Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Implantable cardioverter-defibrillators;
Noise;
Equipment failure
- MeSH:
Defibrillators;
Defibrillators, Implantable;
Equipment Failure;
Humans;
Korea;
Noise;
Outpatients;
Shock;
Stress, Psychological;
Thorax;
Ventricular Fibrillation
- From:Korean Circulation Journal
2013;43(5):336-339
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 50-year-old man, who underwent a procedure for an implantable cardioverter defibrillator (ICD), visited the outpatient department of our clinic after suffering multiple ICD shocks. The ICD interrogation revealed recurrent shock due to a high frequency of noise that is sensed by the device as ventricular fibrillation. Chest radiography revealed a significant split in the insulation of the lead allowing the inner wire to protrude. We considered the removal of the failed lead, but the removal of ICD lead is potentially a high risk procedure, so we cut and capped a proximal part of the failed lead and inserted a new lead. This is the first report of a St. Jude Riata(R) dual coil defibrillator lead failure with clinical and radiologic evidence of a defect in lead insulation in Korea.
