Chronic ventricular lead perforation: Expect the unexpected

Baldeep S Sidhu1,2, Ronak Rajani1,2, Christopher A Rinaldi1,2

  • 1Cardiology Department Guy's & St Thomas' Hospitals London UK.

Clinical Case Reports
|March 23, 2019
PubMed

Insights

Diagnosing chronic right ventricular lead perforation requires a high index of suspicion, especially with new breathlessness and pacing changes. Contrast-enhanced CT is highly accurate for diagnosis, with percutaneous extraction being common.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Electrophysiology

Background:

  • Chronic lead perforation is a rare but serious complication of cardiac implantable electronic devices.
  • Symptoms may be nonspecific, leading to delayed diagnosis.

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