Cardiac lead perforation: Mechanisms, detection, and therapeutic approaches
Why the study?
Cardiac lead perforation presents diagnostic and therapeutic hurdles due to varied clinical presentations and a lack of established criteria, despite improvements in lead design and insertion procedures.
Design
Review
Authors
Discussion
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Member takes
Implication
Alerts clinicians to key perforation risks during implantation; leaves open need for prospective validation of these factors.
Structured PICO
P
Population
Patients with cardiac implantable electronic devices (CIEDs) at risk of or experiencing cardiac lead perforation
Cardiac lead perforation is a serious complication requiring high clinical suspicion, multimodality imaging for diagnosis, and individualized management ranging from observation to surgical intervention.
Limitations
- Lack of consistent diagnostic standards hinders study comparability and postpones the creation of guidelines
Cite This Study
Awashra et al. (2025) studied this question.