Related Experiment Video
Updated: Mar 29, 2026
06:14
Translational Rabbit Model of Chronic Cardiac Pacing
Published on: January 6, 2023
3.2K
Late lead Perforation Following Permanent Pace Maker Implantation--A Case report
1Dr CM Shaheen Kabir, Assistant Professor, Ibrahim Cardiac Hospital & Research Institute (ICH&RI), Shahbagh, Dhaka, Bangladesh.
Mymensingh Medical Journal : MMJ
|December 2, 2015
Summary
Ventricular lead perforation, a critical pacemaker complication, can occur late after implantation. This case highlights a delayed perforation over two months post-procedure, emphasizing diagnostic imaging utility.
Area of Science:
- Cardiology
- Medical Devices
- Surgical Complications
Background:
- Ventricular lead perforation is a rare but serious complication following pacemaker implantation.
- It is often linked to active fixation leads and can manifest acutely, sub-acutely, or late post-implantation.
Observation:
- This report details a case of right ventricular perforation by a ventricular fixation lead.
- The perforation was identified more than two months after the initial pacemaker implantation in a 61-year-old male patient.
Findings:
- Radiology and echocardiography are crucial for diagnosing lead perforation.
- These imaging modalities can reveal lead displacement beyond the cardiac silhouette or pericardial effusion.
Implications:
- The pathophysiology and optimal management strategies for late ventricular lead perforation remain unclear.
- This case underscores the importance of considering delayed complications and utilizing advanced imaging for diagnosis.
