Riata lead failure presenting as a life-threatening electrical storm: A novel manifestation of electrical lead failure

• Main Authors: Jayaprakash Shenthar, MD, DM, FACC, Somasekhar Ghanta, MD, DM, Maneesh K. Rai, MD, DM, Rohit Walia, MD, DM
• Format: Article
• Language: English
• Published: Wiley 2014-12-01
• Series: Journal of Arrhythmia
• Subjects: Implantable cardioverter defibrillator lead malfunction; ICD shock delivery; Riata lead failure; Ventricular fibrillation; Electrical storm
• Online Access: http://www.sciencedirect.com/science/article/pii/S1880427614000374
• ISSN: 1880-4276

The Riata and Riata ST family of implantable cardioverter-defibrillator leads are prone to a unique type of structural failure involving exteriorization of the conductor cables, which may present as electrical failure. We report a mode of lead failure that occurred in a patient with a Riata 1570 series dual coil 8F lead. In this case, the first appropriate shock for ventricular fibrillation resulted in noise, that in turn led to recurrent inappropriate shocks and proarrhythmia, that clinically mimicked a life-threatening electrical storm.