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Title: Undetected displacement of a subcutaneous implantable cardioverter-defibrillator lead
Author: Apolo, José
San Antonio, Rodolfo
Mont Girbau, Lluís
Tolosana, José M. (José María)
Keywords: Raigs X
Desfibril·ladors cardioversors implantables
Fibril·lació ventricular
Implantable cardioverter-defibrillators
Ventricular fibrillation
Issue Date: 22-Oct-2019
Publisher: Oxford University Press
Abstract: Background: In recent years, subcutaneous implantable cardioverter-defibrillator (S-ICD) implants have progressively increased and have been shown to be safe and highly successful, affording low reintervention rates regardless of the technique used. Case summary: We present a case of S-ICD implantation in a patient diagnosed with idiopathic ventricular fibrillation. In the first follow-up consultation the patient showed appropriate detection parameters in the three configurations. However, chest X-ray revealed lead displacement with a tip migration from the manubrium area of the sternum to the xiphoid process. Discussion: This case highlights the importance of performing at least one chest X-ray during the first weeks after S-ICD implantation, allowing the detection of a problem such as lead displacement, which can lead to undersensing of ventricular arrhythmias or S-ICD oversensing.
Note: Reproducció del document publicat a:
It is part of: European Heart Journal - Case Reports, 2019, vol. 3, num. 4, p. 1-5
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ISSN: 2514-2119
Appears in Collections:Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)
Articles publicats en revistes (Medicina)

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