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Case Studies | Cardiology Science | India | Volume 13 Issue 3, March 2024 | Popularity: 4.4 / 10

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Strategies for Early Detection and Management of Implantable Cardioverter Defibrillator Lead Failures: A Clinical Insight

Shivendran Madhurai Shanmughasundaram, Dolly Mathew

Abstract: Implantable cardioverter lead failures present significant challenges to cardiologists due to their potential for serious adverse outcomes, including patient mortality. This article explores a case of a 48-year-old female with hypertrophic obstructive cardiomyopathy who experienced an ICD lead failure one year post implantation. Despite no initial indications of lead fracture on chest X - ray, further investigation using fluoroscopy revealed a DF4 pin dislodgement, which was successfully corrected through surgical intervention. This case underscores the complexity of ICD lead components, the variety of lead failure manifestations and the importance of comprehensive diagnostic approaches, including chest X - ray, pulse generator interrogation and fluoroscopy for early detection and management. The article highlights the need for systematic monitoring and reporting of lead failures to enhance patient outcomes and mitigate the impact of lead failures.

Keywords: Lead failure (LF), ICD - implantable cardioverter defibrillator, fluoroscopy, Hypertrophic Obstructive Cardiomyopathy, Electrical malfunction

Edition: Volume 13 Issue 3, March 2024

Pages: 117 - 118

DOI: https://www.doi.org/10.21275/SR24302160727

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