Korean J Med.
2010 Jun;78(6):747-750.
A case of recurrent lead fracture and complete dislocation after permanent pacemaker implantation
- Affiliations
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- 1Division of Cardiology, Korea University Cardiovascular Center, Seoul, Korea.
- 2Division of Cardiology, Yonsei University Health System, Seoul, Korea. hnpak@yuhs.ac
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.
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