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Late perforation of Durata ICD lead--a case report

Bharati Das1, Sachin Yalagudri1, S Maiya2

  • 1Fellow Electrophysiology, Narayana Hrudayalaya, Bengaluru 560099, India.

Indian Heart Journal
|September 1, 2014
PubMed

Insights

Late cardiac implantable electronic device lead perforation is a rare but serious complication. This case report emphasizes CT scan diagnosis and careful management of this life-threatening condition.

Area of Science:

  • Cardiology
  • Medical Device Complications

Background:

  • Late cardiac implantable electronic device (CIED) lead perforation is an uncommon yet significant complication.
  • Existing literature on pathophysiology, predictors, clinical presentations, and management remains inconclusive.

Observation:

  • This case report details challenges in clinical recognition of late CIED lead perforation.
  • Computed tomography (CT) scans proved valuable in diagnosing the perforation.

Findings:

  • The case highlights the diagnostic utility of CT scans for late CIED lead perforation.
  • It underscores the necessity for meticulous management strategies in such life-threatening scenarios.

Implications:

  • This report may improve the clinical recognition and diagnosis of CIED lead perforation.
  • It contributes to the understanding and management of this rare complication, particularly concerning the Durata lead.

Keywords:
CT thoraxICD leadLate perforation

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