Related manufacturer reference number: 2017865-2021-27338 and 2017865-2021-27340.Patient presented to the emergency room with episodes of presyncope and bradycardia.The device was interrogated and revealed an increase in capture threshold that resulted in intermittent loss of capture.The device was reprogrammed to resolve the capture anomalies.Diagnostic imaging was performed and revealed that the right atrial (ra) and right ventricular (rv) leads were stretched resulting in a lead slack anomaly.It was suspected that the ra and rv leads became stretched due to the pocket of the device being too large and causing the device to migrate in the pocket.A revision procedure was scheduled for the ra and rv leads.The ra lead was successfully repositioned.During the revision procedure, the rv lead became dislodged.The rv lead was explanted and replaced to resolve the event and the patient was stable.
|