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ハギワラ ノブヒサ
HAGIWARA Nobuhisa
萩原 誠久 所属 医学部 医学科（東京女子医科大学病院） 職種 客員教授 |
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| Article types | Case report |
| Language | English |
| Peer review | Peer reviewed |
| Title | Unusual "ratchet syndrome": spontaneous lead retraction after a generator exchange. |
| Journal | Formal name：Heart and Vessels Abbreviation：Heart Vessels ISSN code：09108327/16152573 |
| Domestic / Foregin | Domestic |
| Publisher | Springer Japan |
| Volume, Issue, Page | 29(4),pp.550-553 |
| Author and coauthor | EJIMA Koichiro†*, SHODA Morio, YASHIRO Bun, YOSHIDA Kentaro, NUKI Toshiaki, KATO Ken, MANAKA Tetsuyuki, HAGIWARA Nobuhisa |
| Authorship | Last author |
| Publication date | 2014/07 |
| Summary | A 72-year-old female with idiopathic dilated cardiomyopathy underwent a generator exchange for a cardiac resynchronization therapy defibrillator with a full-pocket capsulectomy. The lead position after the operation was identical to that before the operation on the chest X-ray. After 4 months, a subacute exacerbation of her heart failure was caused by cardiac resynchronization therapy failure due to a dislodgement of the left ventricular lead. An aggressive adhesiotomy of the connective tissue around the leads made it possible for the lead to retract by a ratchet-like movement through the suture sleeve, so-called "ratchet syndrome", after the generator exchange. |
| DOI | 10.1007/s00380-013-0392-4 |
| PMID | 23846318 |