Externalized conductor of a Kentrox lead and an unexpected insulation failure.


Journal

Interactive cardiovascular and thoracic surgery
ISSN: 1569-9285
Titre abrégé: Interact Cardiovasc Thorac Surg
Pays: England
ID NLM: 101158399

Informations de publication

Date de publication:
01 09 2019
Historique:
received: 21 12 2018
revised: 15 03 2019
accepted: 20 03 2019
pubmed: 6 5 2019
medline: 6 2 2020
entrez: 7 5 2019
Statut: ppublish

Résumé

Cardiac resynchronization therapy-defibrillator device upgrades may represent a challenging scenario, especially because unexpected findings can increase procedure difficulty. One such unexpected finding represents insulation failure with unremarkable device interrogation. Insulation failure due to an externalized conductor of an implantable cardiac defibrillator-lead has been recently described for the Kentrox lead (Biotronik). Another challenging aspect of device upgrades is the presence of venous thrombosis as in this case. Here, we report an inside-out abrasion of a Kentrox lead, an unexpected second insulation failure found during pocket revision and the successful recanalization in a patient with known left subclavian vein thrombosis.

Identifiants

pubmed: 31056684
pii: 5485840
doi: 10.1093/icvts/ivz101
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

484-486

Informations de copyright

© The Author(s) 2019. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

Auteurs

Jaime-Jürgen Eulert-Grehn (JJ)

Department of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, Berlin, Germany.
DZHK (German Center for Cardiovascular Research), partner site Berlin, Berlin, Germany.

Volkmar Falk (V)

Department of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, Berlin, Germany.
DZHK (German Center for Cardiovascular Research), partner site Berlin, Berlin, Germany.
Department of Cardiothoracic Surgery, Charité-Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Berlin, Germany.

Mir Timo Nazari-Shafti (MT)

Department of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, Berlin, Germany.
DZHK (German Center for Cardiovascular Research), partner site Berlin, Berlin, Germany.

Christoph Starck (C)

Department of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, Berlin, Germany.
DZHK (German Center for Cardiovascular Research), partner site Berlin, Berlin, Germany.

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