Medizinische Klinik III/Kardiologie, Herford, Germany.
Pacing Clin Electrophysiol. 2020 Dec;43(12):1491-1494. doi: 10.1111/pace.14101. Epub 2020 Oct 30.
Six months after subcutaneous implantable cardioverter defibrillator (S-ICD) implantation a 26-year-old Brugada patient presented because of a beeping tone emitted by his device. Chest X-ray displayed two functionless transvenous shock leads and the S-ICD system with a lead fracture. During lead revision procedure, extensive preparation of the lead from unexpectedly firm surrounding fibrous tissue encapsulating the lead was necessary before it could be removed, and a new shock lead could be implanted. This is the first report of an S-ICD lead exchange due to very early lead fracture and unexpectedly severe fibrous tissue hampering surgical lead extraction.
在皮下植入式心律转复除颤器（S-ICD）植入六个月后，一名 26 岁的 Brugada 患者因设备发出哔哔声而就诊。胸部 X 光显示两条功能失调的经静脉电击导联和带有导联断裂的 S-ICD 系统。在进行导联修正手术时，必须对包裹导联的异常坚固的纤维组织进行广泛的准备，然后才能将其移除，并植入新的电击导联。这是首例由于非常早期的导联断裂和异常严重的纤维组织阻碍手术导联移除而导致的 S-ICD 导联更换报告。
