Left-Sided Humerus Fracture as an Unusual Complication of Defibrillation Threshold Testing Following S-ICD Implantation

Jan Elders; Hisham AlHashimi

doi:10.1016/j.jaccas.2019.08.031

Left-Sided Humerus Fracture as an Unusual Complication of Defibrillation Threshold Testing Following S-ICD Implantation

JACC Case Rep. 2020 Jan 29;2(2):255-257. doi: 10.1016/j.jaccas.2019.08.031. eCollection 2020 Feb.

Authors

Jan Elders¹, Hisham AlHashimi¹

Affiliation

¹ Department of Cardiology, Canisius-Wilhelminahospital, Nijmegen, the Netherlands.

Abstract

Comminuted subcapital humerus fracture as a complication of subcutaneous implantable cardioverter-defibrillator insertion is related to an abducted and externally rotated arm position during the defibrillation threshold test at which the current pathway is through the pectoral muscle. It is advisable to adduct the arm before defibrillation threshold testing. (Level of Difficulty: Beginner.).

Keywords: DFT, defibrillation threshold; S-ICD, subcutaneous implantable cardioverter-defibrillator; VF, ventricular fibrillation; complication; post-operative; primary prevention; subcutaneous implantable cardioverter-defibrillator.

Publication types

Case Reports