ArticleJACC. Case reports2025
Management of Gunshot Injury Involving Cardiac Implantable Electronic Device.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
4 authors.
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Abstract
backgroundFirearm 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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