TY - JOUR
T1 - Delayed lead perforation
T2 - A disturbing trend
AU - Khan, Mohammed N.
AU - Joseph, George
AU - Khaykin, Yaariv
AU - Ziada, Khaled M.
AU - Wilkoff, Bruce L.
PY - 2005/3
Y1 - 2005/3
N2 - Background: Delayed lead perforation (occurring more than 1 month after implantation) is a rare complication. Its pathophysiology and optimal management are currently unclear. Methods: Three cases of delayed lead perforation (6-10 month) were identified in patients with low-profile active fixation leads. Results: All cases presented in a subacute fashion with pleuritic chest pain with confirmatory chest x-ray and device interrogation. Given the potential complications of a perforated lead, all cases had the lead extracted under TEE observation with cardiac surgery backup in the operating room. All patients tolerated extraction without complication. Conclusion: Based on these cases, we recommend a management scheme for patients who present with delayed lead perforation.
AB - Background: Delayed lead perforation (occurring more than 1 month after implantation) is a rare complication. Its pathophysiology and optimal management are currently unclear. Methods: Three cases of delayed lead perforation (6-10 month) were identified in patients with low-profile active fixation leads. Results: All cases presented in a subacute fashion with pleuritic chest pain with confirmatory chest x-ray and device interrogation. Given the potential complications of a perforated lead, all cases had the lead extracted under TEE observation with cardiac surgery backup in the operating room. All patients tolerated extraction without complication. Conclusion: Based on these cases, we recommend a management scheme for patients who present with delayed lead perforation.
KW - Lead perforation
KW - Pacemaker extraction
KW - Pericardium
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U2 - 10.1111/j.1540-8159.2005.40003.x
DO - 10.1111/j.1540-8159.2005.40003.x
M3 - Article
C2 - 15733190
AN - SCOPUS:15344339217
SN - 0147-8389
VL - 28
SP - 251
EP - 253
JO - PACE - Pacing and Clinical Electrophysiology
JF - PACE - Pacing and Clinical Electrophysiology
IS - 3
ER -