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http://dx.doi.org/10.4070/kcj.2013.43.5.336

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)
Publication Information
Korean Circulation Journal / v.43, no.5, 2013 , pp. 336-339 More about this Journal
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
Implantable cardioverter-defibrillators; Noise; Equipment failure;
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