Multidetector computed tomography is a highly useful, non-contrast imaging modality for diagnosing delayed ICD lead perforation and planning surgical extraction.
MDCT may aid diagnosis of delayed ICD lead perforation in select cases; leaves open broader validation before routine use.
We present an unusual case of a delayed right ventricular perforation by a single standard-caliber implantable cardioverter-defibrillator lead, which manifested 14 days after implantation. Multidetector computed tomography could clearly display the lead perforation, and allow for identification of the associated sequelae such as pericardial effusion and planning the lead extraction strategy.
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An et al. (2011) studied this question.
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