Why the study?
Subacute myocardial perforation from pacemaker and implantable cardioverter-defibrillator leads is rare, affecting 0.5%-1.2% of patients, but remains a potentially life-threatening complication.
Population
One 85-year-old patient with pacemaker failure 10 days after implantation
Design
Case report
Authors
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Device failure after pacemaker implantation warrants urgent perforation imaging; single case leaves open true incidence with active fixation leads.
Subacute myocardial perforation is a rare but potentially life-threatening complication of active fixation pacemaker leads that can present as device failure and requires prompt imaging and surgical management.
Allouche et al. (2021) studied this question.
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