Delayed ICD Lead Cardiac Perforation: Comparison of Small versus Standard‐Diameter Leads Implanted in a Single Center

Rordorf, Roberto; Canevese, Fabio Lorenzo; Vicentini, Alessandro; Petracci, Barbara; Savastano, Simone; Sanzo, Antonio; Gandolfi, Edoardo; Dore, Roberto; Landolina, Maurizio

doi:10.1111/j.1540-8159.2010.03002.x

Cited by 26 publications

(21 citation statements)

References 21 publications

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“…Active fixation small‐diameter ICD leads have recently been reported to be associated with an increased risk of delayed cardiac perforation 2. However, in the present case, a standard diameter (8 French) Riata lead was used.…”

Section: Discussionmentioning

confidence: 91%

“…The incidence of perforation by Riata leads is reported to range from 0.345% to 3.8%, which is relatively high 1, 2. Perforation usually occurs shortly after implantation; cases occurring after 1 month are considered to be rare.…”

Section: Discussionmentioning

confidence: 99%

“…However, in the present case, a standard diameter (8 French) Riata lead was used. Other predictors of lead perforation include older age, a low body mass index, the administration of corticosteroids and/or anticoagulants, and RV apical pacing 1, 2, 3…”

Section: Discussionmentioning

confidence: 99%

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Very late perforation by a Riata implantable cardioverter‐defibrillator lead—A case report

Nozoe

Sakamoto

Nagashima

et al. 2018

Journal of Arrhythmia

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Cardiac perforation by a transvenous lead is an uncommon but serious complication. We herein present a case of very late perforation of a Riata implantable cardioverter‐defibrillator lead, which occurred 8 years after implantation. The patient was successfully treated with percutaneous lead extraction using an excimer laser. Lead perforation should be considered, even after years from implantation.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Very late perforation by a Riata implantable cardioverter‐defibrillator lead—A case report

Nozoe

Sakamoto

Nagashima

et al. 2018

Journal of Arrhythmia

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“…Small-diameter (≤8 Fr), active-fixation leads were associated with a higher risk of cardiac perforation, in 1.6% of patients, and active-fixation leads in 1.4% 9. Female sex, age >80 years, lead location, lead stiffness and calibre size are risk factors for cardiac lead perforation 10…”

Section: Discussionmentioning

confidence: 99%

Unexpected early complication of implantable-cardioverter defibrillator

Abdel-Hafez

Wassef²,

Hogrefe

et al. 2018

BMJ Case Reports

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A 41-year-old woman was visiting Oxford, where she had a sudden cardiac arrest. Cardiopulmonary resuscitation was started by a bystander until the paramedics arrived, who found her in ventricular fibrillation, and delivered three shocks. After 28 min she had return of spontaneous circulation. Emergency coronary angiography revealed normal coronary arteries. Echocardiography followed by a cardiac MRI showed non-dilated left ventricles with no evidence of late gadolinium enhancement. She had a single-chamber implantable-cardioverter defibrillator (ICD). A chest CT showed sternal fracture and subsegmental pulmonary embolism, for which she was anticoagulated and was discharged.Several days later, the patient presented to another hospital with atypical chest pain and dizziness. She had haemodynamic instability and echocardiography showed the ICD lead perforating through the right ventricle, with a large pericardial effusion and tamponade, for which pericardiocentesis was done. Afterwards, the patient had repositioning of the ICD lead safely.

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“…To date, pediatric patient size has not been reported as a risk factor, but knowledge about this population is limited. Subacute perforations occur more commonly with active fixation leads and those with small diameters, particularly leads in the Riata (St. Jude Medical) family 2, 3. To date there has been only 1 report of cardiac perforation due to a Durata lead 4 .…”

Section: Discussionmentioning

confidence: 99%