Successful Reimplantation of a Passive-Fixation Ventricle Lead Perforating the Chest Wall
DOI:
https://doi.org/10.1532/HSF98.20071163Abstract
Delayed perforation of a passive fixed pacemaker lead is a rare complication after pacemaker implantation and is associated with increased morbidity and mortality. We report the case of an 82-year-old patient who presented with a delayed perforation of the right heart wall, the pericardium, and the chest wall by a passive-fixation ventricular lead 14 months after pacemaker implantation. The lead was uneventfully extracted transvenously and repositioned in the right ventricle with good pacing and sensing.References
Hirschl DA, Jain VR, Spindola-Franco H, Gross JN, Haramati LB. 2007. Prevalence and characterization of asymptomatic pacemaker and ICD lead perforation on CT. Pacing Clin Electrophysiol 30:28-32.nKiviniemi MS, Pirnes MA, Eränen JK, Kettunen RV, Hartikainen JE. 1999. Complications related to permanent pacemaker therapy. Pacing Clin Electrophysiol 22:711-20.nLopes LR, Brandão L, Carrageta M. 2007. Single-step transvenous extraction of a passive fixation lead with delayed perforation of the right ventricle. Europace 9:672-3.nSelcuk H, Selcuk MT, Maden O, et al. 2006. Uncomplicated heart and lung perforation by a displaced ventricular pacemaker lead: a case report. Pacing Clin Electrophysiol 29:429-30.nEllenbogen KA, Wood MA, Shepard RK. 2002. Delayed complications following pacemaker implantation. Pacing Clin Electrophysiol 25:1155-8.n
