Sudden and Fatal Malfunction of a Durata Defibrillator Lead due to External Insulation Failure

Defibrillator lead malfunction can be a disastrous complication, leading to loss of protection from sudden cardiac death in a high‐risk patient population. Recognition of lead‐specific risk for failure can assist in development of focused screening or surveillance, as in the case of the Riata lead (...

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Bibliographic Details
Published in:Pacing and clinical electrophysiology 2016-01, Vol.39 (1), p.101-104
Main Authors: SHAH, ANAND D., HIRSH, DAVID S., LANGBERG, JONATHAN J.
Format: Article
Language:English
Subjects:
abrasion
Adult
Death, Sudden, Cardiac - etiology
Death, Sudden, Cardiac - prevention & control
Defibrillators, Implantable - adverse effects
Durata
Electrodes, Implanted - adverse effects
Equipment Failure
Fatal Outcome
Humans
ICD failure
insulation
Male
optim
Treatment Failure
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Summary:Defibrillator lead malfunction can be a disastrous complication, leading to loss of protection from sudden cardiac death in a high‐risk patient population. Recognition of lead‐specific risk for failure can assist in development of focused screening or surveillance, as in the case of the Riata lead (St. Jude Medical, St. Paul, MN, USA) or the Sprint Fidelis lead (Medtronic Inc., Minneapolis, MN, USA). A case of defibrillation failure secondary to a Durata lead insulation failure is presented. A brief review of the literature and current St. Jude Medical implantable cardiac defibrillator lead design is presented. Identification of arcing is identified as a potential sign of catastrophic insulation failure.
ISSN:0147-8389
1540-8159
DOI:10.1111/pace.12738