Use of a custom-designed adapter to manage ICD lead fracture

Jorge E. Schliamser, Moeen A. Saleem, Jeffrey Goldberger

Research output: Contribution to journalArticle

Abstract

Custom-Designed Adapter to Manage ICD Lead Fracture. We report the case of a 72-year-old patient with ischemic cardiomyopathy who was found to have a lead fracture in the RV coil DF-1 connector of an integrated bipolar implantable cardioverter-defibrillator (ICD) lead system at the time of upgrade to a biventricular ICD. Due to the redundant connection of the RV coil to the DF-1 connector and the ring on the IS-1 connector, a custom-designed adapter was used to exclude the site of fracture. This novel solution spared the patient the potential risks of lead extraction or abandoning the fractured ICD lead. In this way, pacing and defibrillating capabilities were fully restored, providing the patient 6 years of optimal device functioning.

Original languageEnglish (US)
Pages (from-to)1284-1286
Number of pages3
JournalJournal of Cardiovascular Electrophysiology
Volume20
Issue number11
DOIs
StatePublished - Jan 1 2009
Externally publishedYes

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Implantable Defibrillators
Cardiomyopathies
Equipment and Supplies
Lead

Keywords

  • Cardiac resynchronization therapy
  • Heart failure
  • Implantable cardioverter-defibrillator
  • Integrated bipolar ICD leads
  • Lead fracture

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

Cite this

Use of a custom-designed adapter to manage ICD lead fracture. / Schliamser, Jorge E.; Saleem, Moeen A.; Goldberger, Jeffrey.

In: Journal of Cardiovascular Electrophysiology, Vol. 20, No. 11, 01.01.2009, p. 1284-1286.

Research output: Contribution to journalArticle

Schliamser, Jorge E. ; Saleem, Moeen A. ; Goldberger, Jeffrey. / Use of a custom-designed adapter to manage ICD lead fracture. In: Journal of Cardiovascular Electrophysiology. 2009 ; Vol. 20, No. 11. pp. 1284-1286.
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