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

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

Research output: Contribution to journalArticlepeer-review


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
Issue number11
StatePublished - Nov 2009
Externally publishedYes


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

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)


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