Extraction of late perforated high voltage defibrillator lead utilizing intra cardiac echocardiography

Abstract

Late perforation of rhythm device lead is a well recognized complication of implanted devices with varying degree of clinical presentation from asymptomatic patients to sudden cardiac death. We report a patient with incidental finding of late right ventricular lead perforation during routine device follow up. Endovenous extraction of the lead was performed uneventfully under intracardiac echocardiography guidance with cardiac surgery team backup.