Delayed perforation of the right ventricle by pacemaker/automated implantable cardioverter-defibrillator lead: A single-center experience
Introduction: Cardiac perforation by pacemaker/automatic implantable cardioverter-defibrillator (AICD) lead can be a life-threatening emergency. Delayed cardiac perforation by pacemaker/AICD lead is defined as perforation occurring after a period of 1 month following pacemaker/AICD insertion. Delaye...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Heart India |
| Subjects: | |
| Online Access: | http://www.heartindia.net/article.asp?issn=2321-449x;year=2021;volume=9;issue=1;spage=35;epage=39;aulast=Kumar |
| _version_ | 1818910436250091520 |
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| author | Sarvesh Kumar Vivek Tewarson Mohammad Zeeshan Hakim Shobhit Kumar Sushil K Singh |
| author_facet | Sarvesh Kumar Vivek Tewarson Mohammad Zeeshan Hakim Shobhit Kumar Sushil K Singh |
| author_sort | Sarvesh Kumar |
| collection | DOAJ |
| description | Introduction: Cardiac perforation by pacemaker/automatic implantable cardioverter-defibrillator (AICD) lead can be a life-threatening emergency. Delayed cardiac perforation by pacemaker/AICD lead is defined as perforation occurring after a period of 1 month following pacemaker/AICD insertion. Delayed perforation is often difficult to identify at first and needs active intervention to prevent complications and death.
Materials and Methods: Patients presenting with and operated upon for delayed cardiac perforation following pacemaker/AICD insertion were included in this study. The study was conducted between April 2019 and April 2020.
Results: Three patients reported with delayed cardiac perforation after pacemaker insertion. All patients had syncopal episodes, and detection could be easily done using chest X-ray and trans-thoracic echocardiography (TTE). Two patients had active fixation leads used for anchoring the lead in the right ventricle (RV). Two patients were female, while one was a male, and all had perforation through the RV apex. Lead reposition was done in two cases, thereby preventing the need for placing additional leads, while a new lead was required in the third case.
Conclusion: Early identification of cardiac perforation can be done easily with chest X-ray and TTE, but a high index of suspicion should be kept in mind. Surgical or fluoroscopic intervention may be planned depending on the available expertise and patient condition. |
| first_indexed | 2024-12-19T22:42:46Z |
| format | Article |
| id | doaj.art-809b074bf5b741ff964b3bfcaacd7c4f |
| institution | Directory Open Access Journal |
| issn | 2321-449X |
| language | English |
| last_indexed | 2024-12-19T22:42:46Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Heart India |
| spelling | doaj.art-809b074bf5b741ff964b3bfcaacd7c4f2022-12-21T20:03:01ZengWolters Kluwer Medknow PublicationsHeart India2321-449X2021-01-0191353910.4103/heartindia.heartindia_43_20Delayed perforation of the right ventricle by pacemaker/automated implantable cardioverter-defibrillator lead: A single-center experienceSarvesh KumarVivek TewarsonMohammad Zeeshan HakimShobhit KumarSushil K SinghIntroduction: Cardiac perforation by pacemaker/automatic implantable cardioverter-defibrillator (AICD) lead can be a life-threatening emergency. Delayed cardiac perforation by pacemaker/AICD lead is defined as perforation occurring after a period of 1 month following pacemaker/AICD insertion. Delayed perforation is often difficult to identify at first and needs active intervention to prevent complications and death. Materials and Methods: Patients presenting with and operated upon for delayed cardiac perforation following pacemaker/AICD insertion were included in this study. The study was conducted between April 2019 and April 2020. Results: Three patients reported with delayed cardiac perforation after pacemaker insertion. All patients had syncopal episodes, and detection could be easily done using chest X-ray and trans-thoracic echocardiography (TTE). Two patients had active fixation leads used for anchoring the lead in the right ventricle (RV). Two patients were female, while one was a male, and all had perforation through the RV apex. Lead reposition was done in two cases, thereby preventing the need for placing additional leads, while a new lead was required in the third case. Conclusion: Early identification of cardiac perforation can be done easily with chest X-ray and TTE, but a high index of suspicion should be kept in mind. Surgical or fluoroscopic intervention may be planned depending on the available expertise and patient condition.http://www.heartindia.net/article.asp?issn=2321-449x;year=2021;volume=9;issue=1;spage=35;epage=39;aulast=Kumaractive fixation pacemaker leaddelayed cardiac perforationpacemaker complications |
| spellingShingle | Sarvesh Kumar Vivek Tewarson Mohammad Zeeshan Hakim Shobhit Kumar Sushil K Singh Delayed perforation of the right ventricle by pacemaker/automated implantable cardioverter-defibrillator lead: A single-center experience Heart India active fixation pacemaker lead delayed cardiac perforation pacemaker complications |
| title | Delayed perforation of the right ventricle by pacemaker/automated implantable cardioverter-defibrillator lead: A single-center experience |
| title_full | Delayed perforation of the right ventricle by pacemaker/automated implantable cardioverter-defibrillator lead: A single-center experience |
| title_fullStr | Delayed perforation of the right ventricle by pacemaker/automated implantable cardioverter-defibrillator lead: A single-center experience |
| title_full_unstemmed | Delayed perforation of the right ventricle by pacemaker/automated implantable cardioverter-defibrillator lead: A single-center experience |
| title_short | Delayed perforation of the right ventricle by pacemaker/automated implantable cardioverter-defibrillator lead: A single-center experience |
| title_sort | delayed perforation of the right ventricle by pacemaker automated implantable cardioverter defibrillator lead a single center experience |
| topic | active fixation pacemaker lead delayed cardiac perforation pacemaker complications |
| url | http://www.heartindia.net/article.asp?issn=2321-449x;year=2021;volume=9;issue=1;spage=35;epage=39;aulast=Kumar |
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