Wearable cardioverter defibrillator causing wound dehiscence after subcutaneous implantable cardioverter defibrillator removal
2024

Wound Issues from a Wearable Defibrillator

Sample size: 1 publication Evidence: low

Author Information

Author(s): Oshima Tsukasa, Yamagata Kenichiro, Fujiu Katsuhito

Primary Institution: University of Tokyo Graduate School of Medicine

Hypothesis

Can the use of a wearable cardioverter defibrillator lead to wound dehiscence after the removal of a subcutaneous implantable cardioverter defibrillator?

Conclusion

The friction from the wearable cardioverter defibrillator's chest band likely caused the wound dehiscence in the patient.

Supporting Evidence

  • The patient experienced inappropriate shocks from the S-ICD due to T-wave oversensing.
  • Wound dehiscence occurred three weeks after S-ICD removal while using a wearable cardioverter defibrillator.
  • The wound was located just below the chest band of the wearable defibrillator.

Takeaway

A young man had a wearable defibrillator that caused his wound to reopen after surgery because it was too tight against his skin.

Methodology

Case report of an 18-year-old male with a history of arrhythmogenic right ventricular cardiomyopathy and the use of a wearable cardioverter defibrillator.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

An 18-year-old male with no other co-morbidities.

Digital Object Identifier (DOI)

10.1093/ehjcr/ytae683

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