An unusual presentation of implantable cardioverter-defibrillator lead perforation

Crusio, Robbert; Greenberg, Yisachar

doi:10.1016/j.jelectrocard.2008.09.005

Cited by 2 publications

(4 citation statements)

References 7 publications

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“…In late displacement, surgical repositioning is not possible. In late displacement, implementing a new lead in the chamber will cancel the previous one or repositioning via percutaneous access is a less aggressive option [7]. Fortunately, for our patient, repositioning of the lead was uneventful, as no pericardial effusion was noted before or immediately after the procedure.…”

Section: Discussionmentioning

confidence: 77%

“…The lead displacement can be identified by CT, which is ideally carried out with cardiac synchronization and images reconstructed during diastole [4,6]. Approach to lead displacement is different depending on the time of implantation, clinical status, pacemaker dependency, lead displaced (atrial vs ventricular), and degree of malfunction of the device [7]. In early displacement, reopening the pouch and lead reposition is possible [7].…”

Section: Discussionmentioning

confidence: 99%

“…Approach to lead displacement is different depending on the time of implantation, clinical status, pacemaker dependency, lead displaced (atrial vs ventricular), and degree of malfunction of the device [7]. In early displacement, reopening the pouch and lead reposition is possible [7]. In late displacement, surgical repositioning is not possible.…”

Section: Discussionmentioning

confidence: 99%

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Right Ventricular Perforation Presenting as Tingling of the Left Breast

Shah

Barnes

Modi

et al. 2020

Cureus

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Pacemaker lead-associated cardiac perforation is a rare phenomenon. Lead perforations can be acute, subacute, or chronic following lead placement. Symptoms are typically nonspecific and depend on the location of the displaced lead. Diagnostic workup requires interrogation of the pacemaker and imaging studies. Management of lead displacement is dependent on multiple risk factors such as age, gender, corticosteroid use, and anticoagulation therapy. A 74-year-old female with a history of myosin light chain kinase (MYLK) 2 hypertrophic cardiomyopathy, Sjogren's syndrome, Raynaud's disease, and sick sinus syndrome was evaluated for an abnormal finding on pacemaker interrogation. The patient's only symptom was tingling of her left breast. Imaging studies confirmed pacemaker lead perforation. Right ventricle perforation due to a pacemaker lead displacement can cause severe complications. Early identification and treatment by physicians can reduce the risk of mortality.

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Right Ventricular Perforation Presenting as Tingling of the Left Breast

Shah

Barnes

Modi

et al. 2020

Cureus

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“…Supportted by ultrasound and cardiac surgery, place another ventricular pacing lead, then remove the perforation electrode wire under ultrasound examination and cardiac surgery, in order to avoid the occurrence that the new implanting electrodes may pierce the heart through the original breach. [7] While, transvenous lead extraction imposes a hazard to patients with chronic perforation since electrode wire are bound solidly to myocardial tissues. [8] (2) The management of pericardial effusion.…”

Section: Dr Yongdong LImentioning

confidence: 99%

Treatment of permanent pacemaker electrode-induced cardiac perforation

Zhang¹,

Wei²,

Dai³

2015

DCC

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A case of permanent pacemaker electrode-induced perforation in the Third Affiliated Hospital of Inner Mongolia Medical University was collected and analyzed on the basis of diagnosis, physical examination and treatment. Cardiac perforation is one of the most serious complications of pacemaker implantation. As this disease is rare, it is easy to be misdiagnosed or missed diagnosis. We hope to improve the clinician's awareness and vigilance of permanent pacemaker electrode perforation by analyzing the data of this case.Key Words: Pacemaker, Electrode perforation 1 Medical record General informationA 79-year-old male was admitted to our department on May 20, 2010 due to repeated dizziness, fatigue for five years' duration, aggravating with syncope 4 times in one year. The patient presented with dizziness, fatigue five years ago, without chest tightness, chest pain, or paroxysmal nocturnal dyspnea. The symptoms have not been taken seriously and the patient was not given any treatment. In the past year, the symptoms increased and syncope occurred 4 times. There were no obvious causes, and each attack lasted 1-2 min, the patient turned to be conscious of himself afterwards. Since the onset, the spirit and diet are normal with no change in weight. History of hypertension or diabetes was denied. Physical examinationT 36.5°C, P 48 beats/min, R 16/min, blood pressure 110/80 mmHg. The patient was conscious with an active position. The breathing was smooth and the chest was symmetric. Double lung breath sounded resonance, and no dry or wet rales were heard. The heart rate was 48 beats/min, showing regularity in the force and rhythm of the heartbeat. No noises were heard in each valve during auscultation. Abdomen soft, mild epigastric tenderness, without rebound tenderness and muscle tension. No enlargement of liver, spleen and kidneys beneath the rib was found, nor edema of lower limbs. 2015, Vol. 2, No. 3 in cranial CT. Auxiliary examination Primary DiagnosisSick sinus syndrome (slow-fast type). Diagnosis and treatmentThe patient had a permanent pacemaker implanted in class I indications. For economic reasons, the patient was given implantation of ventricular single chamber pacemakers (VVI). Permanent pacemaker implantation was performed on the third day after admission. The operation was successful. The pacing threshold was 0.3 V, the impedance was 536 Ω, the R wave height was 9.8 mv, and the pacing was normal. The pacing ECG was shown in Figure 1, and the intraoperative image was shown in Figure 2. The patient took out-of-bed activity at 24 h after operation, and the ECG monitoring showed that the pacing perception function was normal. On the third day of operation, the pacemaker performed pacing disturbance. The pacing signal showed no QRS wave group and was normal (see Figure 3). The patient had no chest pain, abdominal pain, palpitation nor shortness of breath. X-ray examination showed that the electrode was located at the apex of the right ventricle (see Figure 4). No pericardial effusion was found over ...

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An unusual presentation of implantable cardioverter-defibrillator lead perforation

Cited by 2 publications

References 7 publications

Right Ventricular Perforation Presenting as Tingling of the Left Breast

Right Ventricular Perforation Presenting as Tingling of the Left Breast

Treatment of permanent pacemaker electrode-induced cardiac perforation

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