Insulation Damage in a Shock Wire: An Unexpected Fluoroscopic Image

Suzanne Valk; R Luijten; Luc Jordaens

doi:10.1111/j.1540-8159.2009.02664.x

Insulation Damage in a Shock Wire: An Unexpected Fluoroscopic Image

Suzanne Valk
, R Luijten
, Luc Jordaens

Cardiology

Research output: Contribution to journal › Article › Academic › peer-review

22 Citations (Scopus)

Abstract

We report on a patient with a single-chamber implantable cardioverter defibrillator admitted with an increase in high-voltage lead impedance, detected with home-monitoring, and inappropriate shocks due to noise on the electrogram. Chest x-ray revealed no abnormalities. Fluoroscopy before the revision procedure showed insulation failure with migration of the shock wire in the heart. The lead was removed and replaced with a new shock lead. This is, as far as we know, the first report on such a particular insulation failure, detected with home-monitoring and inappropriate shocks. (PACE 2010; 33:770 772)

Original language	Undefined/Unknown
Pages (from-to)	770-772
Number of pages	3
Journal	Pace-Pacing and Clinical Electrophysiology
Volume	33
Issue number	6
DOIs	https://doi.org/10.1111/j.1540-8159.2009.02664.x
Publication status	Published - 2010

Research programs

EMC COEUR-09

Access to Document

10.1111/j.1540-8159.2009.02664.x

http://hdl.handle.net/1765/27747

Cite this

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title = "Insulation Damage in a Shock Wire: An Unexpected Fluoroscopic Image",

abstract = "We report on a patient with a single-chamber implantable cardioverter defibrillator admitted with an increase in high-voltage lead impedance, detected with home-monitoring, and inappropriate shocks due to noise on the electrogram. Chest x-ray revealed no abnormalities. Fluoroscopy before the revision procedure showed insulation failure with migration of the shock wire in the heart. The lead was removed and replaced with a new shock lead. This is, as far as we know, the first report on such a particular insulation failure, detected with home-monitoring and inappropriate shocks. (PACE 2010; 33:770 772)",

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