Delayed lead perforation: A disturbing trend

被引：148

作者：

Khan, MN ^{[1
]}

Joseph, G ^{[1
]}

Khaykin, Y ^{[1
]}

Ziada, KM ^{[1
]}

Wilkoff, BL ^{[1
]}

机构：

[1] Cleveland Clin Fdn, Dept Cardiol, Cleveland, OH 44195 USA

来源：

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2005年 / 28卷 / 03期

关键词：

lead perforation; pacemaker extraction; pericardium;

D O I：

10.1111/j.1540-8159.2005.40003.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：251 / 253

页数：3

共 12 条

[1] Delayed complications following pacemaker implantation [J].

Ellenbogen, KA ;

Wood, MA ;

Shepard, RK .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 2002, 25 (08) :1155-1158

[2] LOW INCIDENCE OF LEAD RELATED COMPLICATIONS ASSOCIATED WITH NONTHORACOTOMY IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR SYSTEMS [J].

FAHY, GJ ;

KLEMAN, JM ;

WILKOFF, BL ;

MORANT, VA ;

PINSKI, SL .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1995, 18 (01) :172-178

[3] Right pneumothorax resulting from an endocardial screw-in atrial lead [J].

Ho, WJ ;

Kuo, CT ;

Lin, KH .

CHEST, 1999, 116 (04) :1133-1134

[4] Reccurrent pericardial chest pain:: A case of late right ventricular perforation after implantation of a transvenous active-fixation ICD lead [J].

Kautzner, J ;

Bytesník, J .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 2001, 24 (01) :116-118

[5]

MATSUURA Y, 1990, Hiroshima Journal of Medical Sciences, V39, P131

[6] Perforation of the right ventricle by transvenous defibrillator leads: Prevention and treatment [J].

Molina, JE .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1996, 19 (03) :288-292

[7] Postpacemaker implant pericarditis: Incidence and outcomes with active-fixation leads [J].

Sivakumaran, S ;

Irwin, ME ;

Gulamhusein, SS ;

Senaratne, MPJ .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 2002, 25 (05) :833-837

[8]

Tran N T, 2001, Can Respir J, V8, P283

[9] Lead explantation late after atrial perforation [J].

Trigano, AJ ;

Caus, T .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1996, 19 (08) :1268-1269

[10] Incidence of perforation and other mechanical complications during dual active fixation [J].

Trigano, AJ ;

Taramasco, V ;

Paganelli, F ;

Gerard, R ;

Levy, S .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1996, 19 (11) :1828-1831

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