Lead Macrodislodgement of a Subcutaneous Implantable Cardioverter-Defibrillator Results in a Reel Problem.

El-Zein, Rayan S; Shah, Ankur; Luli, Jordan; Stelzer, Mitchell; Fu, Eugene; Amin, Anish K

El-Zein, Rayan S; Shah, Ankur; Luli, Jordan; Stelzer, Mitchell; Fu, Eugene; Amin, Anish K.

Affiliation

El-Zein RS; Department of Internal Medicine, OhioHealth Doctors Hospital, Columbus, Ohio, USA.
Shah A; Department of Cardiology, OhioHealth Doctors Hospital, Columbus, Ohio, USA.
Luli J; Department of Internal Medicine, OhioHealth Doctors Hospital, Columbus, Ohio, USA.
Stelzer M; Department of Cardiology, OhioHealth Doctors Hospital, Columbus, Ohio, USA.
Fu E; OhioHealth Heart and Vascular Physicians, Section of Cardiac Electrophysiology, Department of Cardiology, OhioHealth Riverside Methodist Hospital, Columbus, Ohio, USA.
Amin AK; OhioHealth Heart and Vascular Physicians, Section of Cardiac Electrophysiology, Department of Cardiology, OhioHealth Riverside Methodist Hospital, Columbus, Ohio, USA.

JACC Case Rep ; 3(3): 523-527, 2021 Mar.

Article in En | MEDLINE | ID: mdl-34317572

ABSTRACT

ABSTRACT

Lead macrodislodgement is a rare complication of cardiac implantable electronic devices associated with patient-related risk factors. This paper outlines a case of reel syndrome secondary to device manipulation 3 months after subcutaneous implantable cardioverter-defibrillator implantation and describes the challenges with lead macrodislodgement diagnosis, mechanisms, and management. (Level of Difficulty Beginner.).

Key words

LMD, lead macrodislodgement; PG, pulse generator; S-ECG, subcutaneous electrocardiogram; S-ICD, subcutaneous implantable cardioverter defibrillator; TV-ICD, transvenous implantable cardioverter defibrillator; cardiac implantable electronic devices; lead failure; lead macrodislogement; reel syndrome; subcutaneous implantable cardioverter-defibrillator; twiddler syndrome

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