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Perforation by permanent pacemaker lead: how late can they occur?
Md Azizul Haque1, Suvanan Roy, Bhabatosh Biswas
1B M Birla Heart Research Centre Cardiology, Kolkata, India. azizul1234@hotmail.com
Cardiology Journal
|May 30, 2012
Summary
Delayed perforation by permanent pacemaker leads is rare, but this case shows it can occur over 7 months post-implantation. The patient experienced pacing failure despite being asymptomatic from the perforation itself.
Area of Science:
- Cardiology
- Medical Devices
- Implantable Electronics
Background:
- Permanent pacemaker leads are crucial for cardiac rhythm management.
- Lead perforation, while uncommon, is a known complication of pacemaker implantation.
- Most perforations occur within the first year, but delayed presentations are documented.
Observation:
- A case of delayed perforation by a passive fixation pacemaker lead is presented.
- The perforation occurred 33 weeks after implantation in a patient without comorbidities.
- The patient was asymptomatic concerning the perforation but showed signs of pacing failure.
Findings:
- This report highlights a rare instance of late pacemaker lead perforation.
- The passive fixation lead caused delayed cardiac perforation.
- Pacing failure was the primary clinical manifestation.
Implications:
- Clinicians should consider late lead perforation in patients with new-onset pacing issues.
- This case underscores the importance of long-term monitoring for pacemaker complications.
- Understanding delayed perforation mechanisms is vital for improving device safety and patient outcomes.
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