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Updated: May 9, 2026
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A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
Published on: February 28, 2012
Legal aspects in implantable defibrillator extraction
C D'Ovidio1, S Costantini, P Vellante
1Section of Legal Medicine, Department of Medicine and Aging Sciences, "G. d'Annunzio" University of Chieti-Pescara, Italy.
Medicine, Science, and the Law
|July 12, 2013
Summary
A rare complication, superior vena cava perforation, occurred during laser extraction of an infected cardiac defibrillator. This case highlights the need for improved physician training and cardiac surgeon availability during such procedures.
Area of Science:
- Cardiology
- Medical Device Technology
- Legal Medicine
Background:
- Implantable cardiac defibrillators (ICDs) are crucial for managing heart rhythm disorders.
- Laser extraction is a technique used for removing cardiac devices, particularly when infected.
- Iatrogenic complications, though rare, can occur during invasive cardiovascular procedures.
Observation:
- A case of superior vena cava perforation was documented during laser extraction of an infected biventricular ICD.
- The event occurred at the Institute of Legal Medicine in Chieti.
Findings:
- This specific case prompted a literature review on similar iatrogenic complications.
- Understanding these complications is essential for improving patient safety.
Implications:
- Enhanced physician training in device extraction is recommended.
- Increased availability of cardiac surgeons during these operations may mitigate risks.
- Addressing organizational issues can help prevent future occurrences.
