Acute perforation in spite of implantation with an "antiperforation" defibrillator lead
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Updated: Jun 20, 2026

A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
Published on: February 28, 2012
1Central Valley Arrhythmia, Stockton, California, USA. chienmd@sbcglobal.net
Abstract:
A 74-year-old male underwent implantation of implantable cardioverter defibrillator per multicenter automatic defibrillator trial two criteria. The new St. Jude Medical Riata STS Durata defibrillator lead (St. Jude Medical, Sylmar, CA, USA) was used. This lead has a slight curve at the right ventricle shock coil and a silicone tip designed to decrease tip pressure at the endocardium interface. We presented a case of acute perforation during implantation of this lead. The patient was treated with pericardiocentesis and recovered.
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