Key result
Deep septal ventricular pacing was associated with delayed pacing failure and spontaneous, complete lead dislodgement after more than 2 years in a single patient.
Why the study?
Deep septal ventricular pacing is a recently developed physiological pacing modality with good efficacy, but carries a potential risk of unusual complications.
Does deep septal pacing carry a risk of delayed lead dislodgement?
Case Report (n=1)
Does deep septal pacing carry a risk of delayed lead dislodgement?
Deep septal pacing may carry a hidden risk of delayed complete lead dislodgement, potentially exacerbated by systemic infection.
Alerts clinicians to rare late dislodgement risk in deep septal pacing; hypothesis-generating, leaves open incidence and prevention strategies.
Deep septal ventricular pacing is a recently developed physiological pacing modality with good efficacy; however, it has a potential risk of unusual complications. Here, we report a patient with pacing failure and spontaneous, complete lead dislodgement after >2 years of deep septal pacing, possibly caused by systemic bacterial infection and specific lead behavior in the septal myocardium. This case report may implicate a hidden risk of unusual complications in deep septal pacing.
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Watanabe et al. (2023) conducted a case report in Pacing failure and complete lead dislodgement (n=1). Deep septal ventricular pacing was evaluated on Pacing failure and spontaneous, complete lead dislodgement. Deep septal ventricular pacing was associated with delayed pacing failure and spontaneous, complete lead dislodgement after more than 2 years in a single patient.
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