An Unexpected Complication of Subcutaneous ICD Implantation and its Successful Management

Subcutaneous implantable cardioverter-defibrillator implantation is known to be a safe procedure. However, inappropriate lead insertion can lead to serious complications. We present a case where an inappropriate lead placement resulted in puncturing the lung parenchyma, and successful management of...

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Published inJACC. Case reports Vol. 2; no. 6; pp. 889 - 893
Main Authors Yanagishita, Tomoya, Sakamoto, Shogo, Yoshisako, Yuta, Sasaki, Kaya, Nakatsuji, Takashi, Tamura, Kenji, Iguchi, Tomokazu, Kataoka, Toru, Izumiya, Yasuhiro, Yoshiyama, Minoru
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.06.2020
Elsevier
Subjects
lead complication
Mini-Focus Issue: Complications
pneumothorax
subcutaneous implantable cardioverter
CT
lead complication
ICD
subcutaneous implantable cardioverter
S-ICD
pneumothorax
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Summary:Subcutaneous implantable cardioverter-defibrillator implantation is known to be a safe procedure. However, inappropriate lead insertion can lead to serious complications. We present a case where an inappropriate lead placement resulted in puncturing the lung parenchyma, and successful management of the lead-related pneumothorax through thoracoscopic lead removal and partial lung resection. (Level of Difficulty: Intermediate.) [Display omitted] Subcutaneous implantable cardioverter-defibrillator implantation is known to be a safe procedure. However, inappropriate lead insertion can lead to serious…
ISSN:2666-0849
2666-0849
DOI:10.1016/j.jaccas.2020.04.044