Management of Gunshot Injury Involving Cardiac Implantable Electronic Device
Background: Firearm injuries involving cardiac implantable electronic devices (CIEDs) present unique challenges. Case Summary: We report a case of a 69-year-old male with a self-inflicted gunshot wound to the chest, which directly damaged his implantable cardioverter-defibrillator (ICD). After we ha...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-07-01
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| Series: | JACC: Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666084925005765 |
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| Summary: | Background: Firearm injuries involving cardiac implantable electronic devices (CIEDs) present unique challenges. Case Summary: We report a case of a 69-year-old male with a self-inflicted gunshot wound to the chest, which directly damaged his implantable cardioverter-defibrillator (ICD). After we had achieved hemodynamic stability in this patient, we extracted the ICD, in which a retained bullet was discovered embedded in the ICD’s circuit board. After the damaged ICD system was removed, a new system was implanted on the contralateral side. Discussion: This case underscores the complexities of managing firearm injuries involving CIEDs, highlighting considerations such as pacemaker dependency, infection risk, battery leakage, and procedural challenges. A multidisciplinary approach is crucial for optimal patient outcomes. |
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| ISSN: | 2666-0849 |