Abstract
Cardiac implantable electronic devices are increasingly implanted worldwide, and with the augmented use, there is a simultaneous increase in the need for chronic lead management and extraction. Chronic leads encapsulated in distal fibrosis can be challenging to remove and, when done, lead to significant injury to the tricuspid leaflets, chordae, and papillary muscles. Beccarino et al (https://doi.org/10.1016/j.hrcr.2021.05.013) share a case of a 72-year-old man with ischemic cardiomyopathy and a single-lead implantable cardioverter-defibrillator (ICD), implanted 12 years prior to presentation, with electrical noise consistent with a conductor coil fracture.
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