A case of recurrent lead fracture and complete dislocation after permanent pacemaker implantation

Seung Eung Roh,; M.D.1,; Hui-Nam Park,; M.D.,; Ph.D.2,; Ji Bak Kim,; M.D.1,; Jae Young Moon,; M.D.1,; Kwang No Lee,; M.D.1,; and Young Hoon Kim ,; Ph.D.1,

Korean J Med > Volume 78(6); 2010 > Article

Original Article

The Korean Journal of Medicine 2010;78(6):747-750.

A case of recurrent lead fracture and complete dislocation after permanent pacemaker implantation

Seung Eung Roh, M.D.1, Hui-Nam Park, M.D., Ph.D.2, Ji Bak Kim, M.D.1, Jae Young Moon, M.D.1, Kwang No Lee, M.D.1, and Young Hoon Kim , Ph.D.1

인제대학교 의과대학 내과학교실, 일산백병원 천식·알레르기센터

영구적 심장 박동 조율기 이식 후의 재발성 리드(lead) 파손(fracture)과 완전 이탈 1예

노승영, 박희남, 김지박, 문재영, 이광노, 김영훈, M.D.1, Jae Young Moon, M.D.1, Kwang No Lee, M.D.1, and Young Hoon Kim , Ph.D.1

Division of Allergy, Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea

Abstract

With the increased use of implantable cardiac devices, the incidence of hardware problems has also increased. Some of the hardware problems might be induced by patient factors. We experienced recurrent pacemaker lead fracture and dislocation after permanent pacemaker implantation. The patient was a bus driver who used his left arm vigorously when he turned the steering wheel. After a new lead was inserted via an axillary vein approach and the patient changed his occupation, no more lead problems have occurred. When a recurrent hardware problem with an implantable pacemaker or defibrillator occurs, patient factors related to anatomy or behavior must be considered. (Korean J Med 78:747-750, 2010)

Key Words: Pacemaker; Defibrillators; Lead; Atrioventricular block; Dislocation