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Atrial and ventricular lead insulation defects with resulting inappropriate shocks and end-of-life of the ICD pulse generator in a young bodybuilder with congenital long-QT-syndrome

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Abstract

We report on a 19-year-old male with a congenital Long-QT syndrome who was admitted to our hospital because of insulation defects of both atrial and ventricular ICD leads resulting in inappropriate delivered shocks and a non-responding pulse generator during telemetrical evaluation. The insulation defects led to multiple arc marks within the ICD pocket and there was a short circuit between denuded leads and the electrically active pulse generator. The high current flow generated sufficient heat to damage several circuits of the generator. A new ICD system was implanted successfully and the postoperative course has been remained uneventful for almost 6 years.

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References

  1. Bracke FA, Meijer A, Van Gelder LM (2002) Malfunction of endocardial defibrillator leads and lead extraction: where do they meet? Europace 4:19–24

    Article  PubMed  CAS  Google Scholar 

  2. Ellenbogen KA, Wood MA, Shepard RK, Clemo HF, Vaughn T, Holloman K, Dow M, Leffler J, Abeyratne A, Verness D (2003) Detection and management of an implantable cardioverter defibrillator lead failure: incidence and clinical implications. J Am Coll Cardiol 41:73–80

    Article  PubMed  Google Scholar 

  3. Gradaus R, Breithardt G, Bocker D (2003) ICD leads: design and chronic dysfunctions. Pacing Clin Electrophysiol 26:649–657

    Article  PubMed  Google Scholar 

  4. Heidbuchel H (2007) Implantable cardioverter defibrillator therapy in athletes. Cardiol Clin 25:467–482

    Article  PubMed  Google Scholar 

  5. Kitamura S, Satomi K, Kurita T, Shimizu W, Suyama K, Aihara N, Niwaya K, Kobayashi J, Kamakura S (2006) Long-term follow-up of transvenous defibrillation leads: high incidence of fracture in coaxial polyurethane lead. Circ J 70:273–277

    Article  PubMed  Google Scholar 

  6. Kleemann T, Becker T, Doenges K, Vater M, Senges J, Schneider S, Saggau W, Weisse U, Seidl K (2007) Annual rate of transvenous defibrillation lead defects in implantable cardioverter-defibrillators over a period of >10 years. Circulation 115:2474–2480

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiothoracic Surgery, Martin-Luther-Universität Halle-Wittenberg, Ernst-Grube-Strasse 40, 06097, Halle/Saale, Germany

    Claudius Diez MD

  2. Department of Cardiothoracic Surgery, Friedrich-Schiller Universität Jena, Erlanger Allee 101, 07747, Jena, Germany

    Jochen Börgermann MD

  3. Department of Thoracic Surgery, Universitätsklinikum Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany

    Hans-Stefan Hofmann MD

Authors
  1. Claudius Diez MD
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  2. Hans-Stefan Hofmann MD
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  3. Jochen Börgermann MD
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Correspondence to Claudius Diez MD.

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Diez, C., Hofmann, HS. & Börgermann, J. Atrial and ventricular lead insulation defects with resulting inappropriate shocks and end-of-life of the ICD pulse generator in a young bodybuilder with congenital long-QT-syndrome. Clin Res Cardiol 98, 16–18 (2009). https://doi.org/10.1007/s00392-008-0711-4

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  • DOI: https://doi.org/10.1007/s00392-008-0711-4

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