Incidence of lead dislodgement and perforation during one year following device implantation

Incidence of lead dislodgement, malfunction and perforation during the first year following device implantation

BACKGROUND The number of cardiac rhythm device implantations has been growing fast due to expanding indications and ageing of the population. Complications of implantation were rare in the trials. However, these involved small numbers and selected patients. Prospective real-life data are necessary to assess cardiac device implantation procedure-related risks. OBJECTIVE To determine the incide...

Tale of a Wandering Lead: Late Atrial Lead Perforation into Right Lung following Pacemaker Implantation

Cardiac perforation by a pacemaker lead is a rare complication of pacemaker implantation. Presentation can vary from chest pain and shortness of breath to the patient being completely asymptomatic. Diagnosis is usually made by high-resolution computed tomography (HRCT) scan of the chest. Electrocardiograph (EKG) usually shows the absence of a paced rhythm, but it doesn't provide a definitive di...

Lead Damage in the First-Year Following Cardiac Implantable Electronic Device (Cied) Replacement: Incidence and Costs Based on Device Type.

Delayed cardiac perforation of the Durata implantable cardioverter-defibrillator lead more than 1 year after implantation

Introduction The rate of implantable cardioverter-defibrillator (ICD) lead perforations has been reported to be in the range of 0.6%– 5.2%, with the majority of cases occurring within 1 month of implantation. However, isolated reports of delayed ICD lead perforations occurring more than 1 year and up to 3 years after implantation have been described. Here, we present a case of a patient with a ...

Diaphragmatic Stimulation: A case of Atrial Lead Dislodgement and Right Atrium perforation

We report a 48 year old male who presented with diaphragmatic stimulation. The biventricular implantable cardioverter and defibrillator (CRT-D) was implanted two weeks before admission and active fixation lead caused perforation of the right atrial wall. Echocardiography did not demonstrate pericardial effusion but Chest X-ray and computed tomography (CT) visualized the atrial screw helix outsi...