CTICasesFractured Coronary Vein Lead (CRTD Device)
▶ Watch on YouTube — age-restricted, cannot embed here
[...]. Fractured Coronary Vein Lead (CRTD Device). CTICases. Published August 28, 2015. https://str-case-explorer.pages.dev/c/bbbdn
Imaging findings
Initial chest radiograph showed appropriately positioned CRTD leads in the right atrial appendage, right ventricle, and a coronary vein. A follow-up radiograph a couple of months later showed a new fracture of the coronary vein lead. The heart also appeared slightly larger, and the azygos vein/SVC potentially more distended.
Key takeaways
This case demonstrates a relatively unusual and spontaneous fracture of a coronary vein lead of a CRTD device, occurring not long after implantation. Such fractures lead to device malfunction and require intervention. Careful review of lead integrity on follow-up imaging is important for device surveillance.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Pneumocystis Pneumonia (PCP) and Companion CMV PneumoniaInfection
- Pseudoaneurysm at Cannulation Site Post-CABGDevices & Post-op
- Fungating Soft Tissue Chloroma with Lung Nodules/InfiltrationNeoplastic
- Posterior Sternoclavicular Joint Dislocation (Left)Trauma
- Chondrosarcoma of RibNeoplastic
- Constrictive Bronchiolitis in Rheumatoid ArthritisAutoimmune
- Esophageal Perforation (Post-Stent)Iatrogenic
- Tracheoesophageal Fistula (Post-Radiation for Tracheal SCC)Iatrogenic
See all cases from August 28, 2015 →
Related Devices & Post-op cases
- Retained Wires from First-Generation Defibrillator
- Myocardial Perforation by Pacemaker Lead with Insulation Disruption
- Pacemaker Lead Complications (Shredded/Stuck Lead and Broken Lead Fragment)
- Left Atrial Appendage Occlusion Device (Watchman Device)
- CardioMEMS Pulmonary Artery Pressure Monitoring Device
- Azygos Defibrillator Lead in an Azygos Fissure