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Aortic Perforation by Active‐Fixation Atrial Pacing Lead
Author(s) -
KASHANI AMIR,
MEHDIRAD ALI,
FREDMAN CAREY,
BAROLD S. SERGE
Publication year - 2004
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2004.00456.x
Subject(s) - medicine , stylet , cardiac tamponade , perforation , complication , aorta , tamponade , fixation (population genetics) , surgery , cardiology , pericardial effusion , lead (geology) , population , materials science , punching , environmental health , geomorphology , metallurgy , geology
This report describes perforation of the aorta related to the implantation of an active‐fixation atrial pacing lead, a previously undocumented complication of pacemaker implantation. The complication was related to excessive tissue penetration by the screw at the tip of the lead or perforation of the lead body by the positioning stylet during manipulation whereupon the stylet traversed the atrial wall and aortic wall. Perforation of the aorta should be part of the differential diagnosis of cardiac tamponade after pacemaker implantation. (PACE 2004; 27:417–418)