Key result
Surgical treatment via mini-access with simultaneous lead repositioning was successfully performed in a high surgical risk patient with delayed right ventricular perforation by an ICD lead.
Why the study?
The optimal management strategy for delayed myocardial perforation following antiarrhythmic device implantation remains controversial, especially when transvenous lead extraction carries a high perioperative risk.
Case Report (n=1)
Surgical treatment via mini-access with simultaneous lead repositioning is a viable option for managing delayed right ventricular perforation by an ICD lead in high-risk patients.
May be feasible in select high-risk patients with delayed ICD lead perforation; hypothesis-generating and requires prospective validation.
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Saprankov et al. (2021) conducted a case report in Delayed right ventricular perforation by an ICD lead (n=1). Surgical treatment via mini-access with simultaneous lead repositioning was evaluated. Surgical treatment via mini-access with simultaneous lead repositioning was successfully performed in a high surgical risk patient with delayed right ventricular perforation by an ICD lead.
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