Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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A Case of Riata$^{(R)}$ Dual Coil Defibrillator Lead Failure in a Patient with Ventricular Fibrillation

  • Choi, Kyu (Department of Internal Medicine, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Jung Hee (Department of Internal Medicine, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Hyo Jin (Department of Internal Medicine, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Se-Ok (Department of Internal Medicine, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jang, Eun-Young (Department of Internal Medicine, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, June Soo (Division of Cardiology, Department of Internal Medicine, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • Published : 2013.05.30
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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.

Keywords

References

  1. Zipes DP, Wellens HJ. Sudden cardiac death. Circulation 1998;98:2334-51. https://doi.org/10.1161/01.CIR.98.21.2334
  2. A comparison of antiarrhythmic-drug therapy with implantable defibrillators in patients resuscitated from near-fatal ventricular arrhythmias. The Antiarrhythmics versus Implantable Defibrillators (AVID) Investigators. N Engl J Med 1997;337:1576-83. https://doi.org/10.1056/NEJM199711273372202
  3. Gregoratos G, Abrams J, Epstein AE, et al. ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices--summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/NASPE Committee to Update the 1998 Pacemaker Guidelines). J Am Coll Cardiol 2002;40:1703-19. https://doi.org/10.1016/S0735-1097(02)02528-7
  4. Shen S, Bhave P, Giedrimas E, et al. Prevalence and predictors of cable extrusion and loss of electrical integrity with the Riata defibrillator lead. J Cardiovasc Electrophysiol 2012;23:1207-12. https://doi.org/10.1111/j.1540-8167.2012.02378.x
  5. Sung RK, Massie BM, Varosy PD, et al. Long-term electrical survival analysis of Riata and Riata ST silicone leads: National Veterans Affairs experience. Heart Rhythm 2012;9:1954-61. https://doi.org/10.1016/j.hrthm.2012.08.006
  6. Valk S, Luijten R, Jordaens L. Insulation damage in a shock wire: an unexpected fluoroscopic image. Pacing Clin Electrophysiol 2010;33:770-2. https://doi.org/10.1111/j.1540-8159.2009.02664.x
  7. Chan CW, Chiang CS. An ICD lead with failure of outer insulation goes undetected by regular measurements. Pacing Clin Electrophysiol 2012;35:e261-2. https://doi.org/10.1111/j.1540-8159.2011.03164.x
  8. Erkapic D, Duray GZ, Bauernfeind T, De Rosa S, Hohnloser SH. Insulation defects of thin high-voltage ICD leads: an underestimated problem? J Cardiovasc Electrophysiol 2011;22:1018-22. https://doi.org/10.1111/j.1540-8167.2011.02055.x
  9. Krebsbach A, Alhumaid F, Henrikson CA, Calkins H, Berger RD, Cheng A. Premature failure of a Riata defibrillator lead without impedance change or inappropriate sensing: a case report and review of the literature. J Cardiovasc Electrophysiol 2011;22:1070-2. https://doi.org/10.1111/j.1540-8167.2011.02042.x
  10. Kodoth V, Cromie N, Lau E, McEneaney D, Wilson C, Roberts MJ. Riata lead failure; a report from Northern Ireland Riata lead screening programme. Eur Heart J 2011;32:1838. Abstract. https://doi.org/10.1093/eurheartj/ehr026
  11. Schmutz M, Delacretaz E, Schwick N, et al. Prevalence of asymptomatic and electrically undetectable intracardiac inside-out abrasion in silicon-coated $Riata^{(R)}$ and $Riata^{(R)}$ ST implantable cardioverter-defibrillator leads. Int J Cardiol 2012. [Epub ahead of print]
  12. Liu J, Rattan R, Adelstein E, et al. Fluoroscopic screening of asymptomatic patients implanted with the recalled Riata lead family. Circ Arrhythm Electrophysiol 2012;5:809-14. https://doi.org/10.1161/CIRCEP.112.973081

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