Lead Macrodislodgement of a Subcutaneous Implantable Cardioverter-Defibrillator Results in a Reel Problem

El-Zein, DO Rayan S.; Shah, Ankur; Luli, DO Jordan; Stelzer, DO Mitchell; Fu, Eugene Y.; Amin, Anish K.

doi:10.1016/j.jaccas.2021.01.024

Cited by 4 publications

(2 citation statements)

References 5 publications

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“…[ 4 5 ] As the components of the PMs and ICDs are similar Reel syndrome related with ICDs might exist but to our knowledge, there were two Reel syndromes reported in the literature in this manner. [ 9 10 ]…”

Section: Discussionmentioning

confidence: 99%

Abdominal twitches due to ICD lead dislodgement; A case report

Arslan¹,

Oktay²,

Ersoysal³

et al. 2022

Turk J Emerg Med

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Malfunctions of implantable cardiac devices have the potential to be catastrophic. A 63-year-old patient was admitted to our emergency department with new-onset abdominal pain and sensation of twitching on his abdominal wall. One month ago, an implantable cardioverter-defibrillator (ICD) was implanted in him to prevent malignant ventricular arrhythmias. An electrocardiogram was obtained that showed pace spikes unrelated to QRS complexes. The patient was diagnosed with ICD lead dislodgement and the lead was repositioned in another procedure. In conclusion, emergency physicians should be familiar with the problems of implantable cardiac devices.

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Section: Discussionmentioning

confidence: 99%

Abdominal twitches due to ICD lead dislodgement; A case report

Arslan¹,

Oktay²,

Ersoysal³

et al. 2022

Turk J Emerg Med

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“…The two-incision technique is a safe and efficacious alternative for S-ICD implantations and offers physicians a less invasive and simplified implantation procedure of the S-ICD [ 5 ]. Lead dislodgement of S-ICD is a rare complication; however, there have been reports of leads dislodgement with the two-incision technique [ 6 ], due to patient motion or manual movement of the S-ICD generator [ 7 ]. We used the two-incision technique instead of three incisions for cosmetic reasons as the patient was a juvenile, but for patients that are sports players however, we use the three-incision technique in order to fix the lead more firmly.…”

Section: Discussionmentioning

confidence: 99%

Subcutaneous-implantable cardioverter defibrillator lead dislodgement in a juvenile catecholamine-induced polymorphic ventricular tachycardia patient

Miyoshi

Saeki

Arita

et al. 2022

Oxford Medical Case Reports

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Catecholaminergic polymorphic ventricular tachycardia (CPVT) is a relatively rare inherited arrhythmic disease that causes sudden cardiac death, and is caused by mutations in the cardiac ryanodine receptor (RyR2) or sarcoplasmic reticulum protein calsequestrin 2 gene (CASQ2). A 16-year-old man was diagnosed with CPVT and was implanted with a Subcutaneous-implantable Cardioverter Defibrillator (S-ICD), but defibrillation electrode detachment occurred early after placement. We suspected that a two-incision technique was the possible cause. We also report on changes in surface ECG in remote monitoring of the device. TAKE HOME MESSAGE Although two-incision techniques are becoming the mainstream method of S-ICD implantation, we should consider that the three-incision technique may be advantageous in highly active patients. Remote monitoring may also be useful for early detection of S-ICD dislodgement.

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