A Case of Very Early Lead Fracture in an Implantable Cardioverter‐Defibrillator: Management and Follow‐Up
Marwan Shawki, Sam Mirzaee, Cameron McCormack, Gareth J. Wynn, Han S. LimABSTRACT
Introduction
Implantable cardioverter defibrillators (ICDs) lead fractures are rare but serious complications, often leading to inappropriate shocks. The early occurrence of such fractures post‐implantation is exceptionally uncommon.
Methods and Results
We present a case of a 53‐year‐old male with hypertrophic cardiomyopathy who experienced an inappropriate shock due to a lead fracture just 4 days after ICD implantation. The fractured lead was successfully extracted and replaced using a gooseneck snare passed through an oversized TightRail with no immediate complications.
Conclusion
Early lead fractures can occur shortly after ICD implantation, leading to inappropriate shocks. Successful management, including extraction and reimplantation, is possible even in these early cases. Clinicians should remain vigilant, and remote monitoring can play a crucial role in the timely detection of such complications.