Key result
Implantation of cardiac implantable electronic devices can rarely cause injury to coronary arteries and related structures, leading to myocardial infarction and pericardial tamponade.
Highlights the rare but severe complication of coronary artery injury and troponin elevation following cardiac implantable electronic device implantation.
Clinicians should remain vigilant for rare coronary injury during CIED implantation; leaves open systematic incidence and prevention data.
Damage to the coronary arteries and related structures from pacemaker and implantable cardioverter-defibrillator lead implantation is a rarely reported complication that can lead to myocardial infarction and pericardial tamponade that may occur acutely or even years later. We summarize the reported cases of injury to coronary arteries and related structures and review the causes of troponin elevation in the setting of cardiac implantable electronic device implantation.
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Pang et al. (2015) conducted a review in Injury to coronary arteries and related structures. Cardiac implantable electronic device implantation was evaluated. Implantation of cardiac implantable electronic devices can rarely cause injury to coronary arteries and related structures, leading to myocardial infarction and pericardial tamponade.
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