Delayed lead perforation: A disturbing trend

被引：146
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.
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收藏
页码：251 / 253
页数：3
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