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.
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.
Authors: Emilie Rulliat; Bernard Floccard; Alexandre Faure; Olivier Peguet; Roland Henaine; Jean Ninet; Bernard Allaouchiche Journal: Intensive Care Med Date: 2010-07-07 Impact factor: 17.440
Authors: Amir K Bigdeli; Andres Beiras-Fernandez; Ingo Kaczmarek; Christian Kowalski; Michael Schmoeckel; Bruno Reichart Journal: Vasc Health Risk Manag Date: 2010-02-04