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Undetected displacement of a subcutaneous implantable cardioverter-defibrillator lead. importance of performing a chest X-ray during the first weeks post-implant: a case report
- Source :
- European Heart Journal: Case Reports
- Publication Year :
- 2019
- Publisher :
- Oxford University Press, 2019.
-
Abstract
- Background In recent years, subcutaneous implantable cardioverter-defibrillator (S-ICD) implants have progressively increased and have been shown to be safe and highly successful, affording low reintervention rates regardless of the technique used. Case summary We present a case of S-ICD implantation in a patient diagnosed with idiopathic ventricular fibrillation. In the first follow-up consultation the patient showed appropriate detection parameters in the three configurations. However, chest X-ray revealed lead displacement with a tip migration from the manubrium area of the sternum to the xiphoid process. Discussion This case highlights the importance of performing at least one chest X-ray during the first weeks after S-ICD implantation, allowing the detection of a problem such as lead displacement, which can lead to undersensing of ventricular arrhythmias or S-ICD oversensing.
- Subjects :
- medicine.medical_specialty
Sternum
business.industry
medicine.medical_treatment
Case Reports
Implantable cardioverter-defibrillator
Xiphoid process
X-ray
medicine.anatomical_structure
S-ICD
Cardiac devices
Case report
medicine
Displacement (orthopedic surgery)
Implant
Radiology
Idiopathic ventricular fibrillation
Cardiology and Cardiovascular Medicine
Lead (electronics)
business
Subjects
Details
- Language :
- English
- ISSN :
- 25142119
- Volume :
- 3
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- European Heart Journal: Case Reports
- Accession number :
- edsair.doi.dedup.....ed4addbb38096b2db1c0cfd759009a91