Chronic phase subcutaneous implantable cardioverter defibrillator lead dislodgement in a patient with arrhythmogenic right ventricular cardiomyopathy

Abstract

The subcutaneous implantable cardioverter defibrillator (S‐ICD) is often used in young patients such as arrhythmogenic right ventricular cardiomyopathy (ARVC) and Brugada syndrome due to long‐term lead durability issues. Although S‐ICD lead dislodgement is rare, we encountered such an incident in a young ARVC patient during the chronic phase following the two‐incision technique. Remote monitoring system is useful for early diagnosis of electrode movement (Graphical abstract image). When S‐ICD lead dislodgement occurs in active young patients, lead revision using the three‐incision technique may be an option.