Late Perforation by Cardiac Implantable Electronic Device Leads: Clinical Presentation, Diagnostic Clues, and Management
- 18 August 2010
- journal article
- case report
- Published by Wiley in Clinical Cardiology
- Vol. 33 (8), 466-475
- https://doi.org/10.1002/clc.20803
Abstract
Late intracardiac lead perforation is defined as migration and perforation of an implanted lead after 1 month of cardiac electronic device implantation. It is an under‐recognized complication with significant morbidity and mortality, particularly if not recognized early. Two patients with late perforation caused by passive‐fixation leads are reported and the clinical features of their presentation and management are reviewed. We conducted a thorough review of the available English language literature pertaining to this complication to draw relevant conclusions regarding presentation, diagnosis, and management. Early recognition of this complication is important as the indications for and numbers of patients who receive cardiac implantable electronic devices continue to expand. Copyright © 2010 Wiley Periodicals, Inc. The authors have no funding, financial relationships, or conflicts of interest to disclose.Keywords
This publication has 42 references indexed in Scilit:
- Association of Physician Certification and Outcomes Among Patients Receiving an Implantable Cardioverter-DefibrillatorJAMA, 2009
- Fluoroscopy to assess late heart and lung perforation by a permanent ventricular pacemaker lead. A case complicated by isolated hemothoraxInternational Journal of Cardiology, 2008
- Lead Perforation: Incidence in RegistriesPacing and Clinical Electrophysiology, 2007
- Asymptomatic Anterior Perforation of an ICD Lead into Subcutaneous TissuesPacing and Clinical Electrophysiology, 2007
- Right Ventricular Perforation with an ICD Defibrillation Lead Managed by Surgical Revision and Epicardial Leads—Case ReportsPacing and Clinical Electrophysiology, 2007
- Single-step transvenous extraction of a passive fixation lead with delayed perforation of the right ventricleEP Europace, 2007
- Prevalence and Characterization of Asymptomatic Pacemaker and ICD Lead Perforation on CTPacing and Clinical Electrophysiology, 2007
- Proper Management of Pericardial Tamponade as a Late Complication of Implantable Cardiac Device PlacementThe American Journal of Cardiology, 2006
- Lead Explantation Late After Atrial PerforationPacing and Clinical Electrophysiology, 1996
- Evaluation and extraction of the Accufix atrial J leadAmerican Heart Journal, 1996