Use of a custom-designed adapter to manage ICD lead fracture

J Cardiovasc Electrophysiol. 2009 Nov;20(11):1284-6. doi: 10.1111/j.1540-8167.2009.01463.x. Epub 2009 Mar 19.

Abstract

We report the case of a 72-year-old patient with ischemic cardiomyopathy who was found to have a lead fracture in the RV coil DF-1 connector of an integrated bipolar implantable cardioverter-defibrillator (ICD) lead system at the time of upgrade to a biventricular ICD. Due to the redundant connection of the RV coil to the DF-1 connector and the ring on the IS-1 connector, a custom-designed adapter was used to exclude the site of fracture. This novel solution spared the patient the potential risks of lead extraction or abandoning the fractured ICD lead. In this way, pacing and defibrillating capabilities were fully restored, providing the patient 6 years of optimal device functioning.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Defibrillators, Implantable*
  • Electrodes, Implanted*
  • Equipment Design
  • Equipment Failure*
  • Humans
  • Male
  • Treatment Outcome
  • Ventricular Dysfunction, Left / prevention & control*