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Delayed Lead Perforation: A Disturbing Trend
Abstract
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.
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Cited by
Prevalence and Characterization of Asymptomatic Pacemaker and ICD Lead Perforation on CT
HIRSCHL, D. A., JAIN, V. R., SPINDOLA‐FRANCO, H., GROSS, J. N., & HARAMATI, L. B. (2007) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.2007.00575.x · Cited by 271
Lin, Y.-S., Hung, S.-P., Chen, P.-R., Yang, C.-H., Wo, H.-T., Chang, P.-C., Wang, C.-C., Chou, C.-C., Wen, M.-S., Chung, C.-M., et al. (2014) · Medicine · doi:10.1097/md.0000000000000213 · Cited by 58
Metadata
- Authors
- KHAN, M. N., JOSEPH, G., KHAYKIN, Y., ZIADA, K. M., & WILKOFF, B. L.
- Venue
- Pacing and Clinical Electrophysiology
- Publisher
- Wiley
- Published
- 2005-02-25
- Volume
- 28
- Issue
- 3
- Pages
- 251-253
- ISSN
- 0147-8389 (ISSN-L)
- 1540-8159
- OpenAlex
- W2115246819
- Cited by
- 215
- References
- 0
- FWCI
- 5.73
- Type
- journal article
- Language
- en
- Open access
- closed
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- KHAN, M. N., JOSEPH, G., KHAYKIN, Y., ZIADA, K. M., & WILKOFF, B. L. (2005). Delayed Lead Perforation: A Disturbing Trend. Pacing and Clinical Electrophysiology. https://doi.org/10.1111/j.1540-8159.2005.40003.x
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