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Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
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Pacemaker leads and cardiac perforation.

Andrew Peter Vanezis1, Rachana Prasad1, Richard Andrews1

  • 1The Lincolnshire Heart Centre, Lincoln County Hospital, Lincoln LN2 5QY, UK.

JRSM Open
|March 22, 2017
PubMed
Summary
This summary is machine-generated.

Pacemaker leads can rarely cause life-threatening ventricular perforation. This case series reviews diagnostic methods and treatment options for this serious cardiac complication.

Keywords:
arrhythmiascardiovascular medicineclinicalpacing and electrophysiology

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Area of Science:

  • Cardiology
  • Medical Devices
  • Cardiac Electrophysiology

Background:

  • Pacemaker implantation is a common procedure for managing cardiac arrhythmias.
  • Ventricular perforation by pacemaker leads is a rare but critical complication.

Observation:

  • This case series details instances of ventricular perforation secondary to pacemaker lead placement.
  • Clinical presentations varied, underscoring the need for high clinical suspicion.

Findings:

  • Diagnostic imaging, including echocardiography and computed tomography, is crucial for identifying perforation.
  • Management involves prompt recognition and often surgical intervention to address the perforation and reposition or remove the lead.

Implications:

  • Early diagnosis and appropriate management are vital to improve patient outcomes and reduce mortality associated with pacemaker lead perforation.
  • This highlights the importance of ongoing vigilance and refinement of implantation techniques to minimize risks.