Key result
Heart perforation following pacemaker or implantable cardioverter-defibrillator implantation occurred at an incidence of 0.09% and was successfully managed primarily by direct traction or percutaneous lead extraction.
Why the study?
What are the clinical characteristics and optimal management strategies for heart perforation following PM/ICD implantation?
Population
6 patients with heart perforation following pacemaker or implantable cardioverter-defibrillator…
Design
Case_series
Follow-up
Symptoms developed 4 to 990 days after implantation
Authors
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Supports percutaneous management in select cases; leaves open optimal strategies for atypical presentations pending larger studies.
Observational (n=6)
No
What are the clinical characteristics and optimal management strategies for heart perforation following PM/ICD implantation?
Heart perforation is a rare complication of PM/ICD implantation (0.09%) that can often be safely managed with percutaneous lead extraction, though atypical locations may require cardiac surgery.
Piekarz et al. (2012) conducted an observational in Heart perforation after permanent cardiac pacing (n=6). Pacemaker or implantable cardioverter-defibrillator implantation was evaluated on Incidence of heart perforation. Heart perforation following pacemaker or implantable cardioverter-defibrillator implantation occurred at an incidence of 0.09% and was successfully managed primarily by direct traction or percutaneous lead extraction.
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