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Delayed Lead Perforation: A Disturbing Trend
Author(s) -
KHAN MOHAMMED N.,
JOSEPH GEORGE,
KHAYKIN YAARIV,
ZIADA KHALED M.,
WILKOFF BRUCE L.
Publication year - 2005
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.1540-8159.2005.40003.x
Subject(s) - medicine , complication , lead (geology) , surgery , perforation , materials science , geomorphology , punching , metallurgy , geology
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.