Delayed lead perforation: A disturbing trend

Mohammed N. Khan; George Joseph; Yaariv Khaykin; Khaled M. Ziada; Bruce L. Wilkoff

doi:10.1111/j.1540-8159.2005.40003.x

Delayed lead perforation: A disturbing trend

Mohammed N. Khan, George Joseph, Yaariv Khaykin, Khaled M. Ziada, Bruce L. Wilkoff

Internal Medicine

Research output: Contribution to journal › Article › peer-review

169 Scopus citations

Abstract

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.

Original language	English
Pages (from-to)	251-253
Number of pages	3
Journal	PACE - Pacing and Clinical Electrophysiology
Volume	28
Issue number	3
DOIs	https://doi.org/10.1111/j.1540-8159.2005.40003.x
State	Published - Mar 2005

Keywords

Lead perforation
Pacemaker extraction
Pericardium

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1111/j.1540-8159.2005.40003.x

Cite this

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title = "Delayed lead perforation: A disturbing trend",

abstract = "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.",

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T2 - A disturbing trend

AU - Khan, Mohammed N.

AU - Joseph, George

AU - Khaykin, Yaariv

AU - Ziada, Khaled M.

AU - Wilkoff, Bruce L.

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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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Delayed lead perforation: A disturbing trend

Abstract

Keywords

ASJC Scopus subject areas

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