Key result
Transvenous percutaneous lead extraction and revision successfully treated a delayed right ventricular lead perforation that presented as diaphragmatic pacing 9 months post-implantation.
Why the study?
Delayed ventricular lead perforations occurring 1 month after device implantation are not widely reported and can present with a wide range of manifestations.
Population
1 patient presenting 9 months after implantation with an active fixation RV pacing lead with apical perforation
Design
Case report
Authors
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May support percutaneous extraction for delayed RV lead perforation; case reports leave open generalizability and long-term safety.
Case Report (n=1)
No
Delayed ventricular lead perforation can present months after implantation with diaphragmatic pacing despite normal sensing parameters, requiring high clinical suspicion and computed tomography angiography for definitive diagnosis.
Madanat et al. (2022) conducted a case report in Delayed ventricular lead perforation (n=1). Transvenous percutaneous lead extraction and revision was evaluated on Successful lead extraction and revision without complications. Transvenous percutaneous lead extraction and revision successfully treated a delayed right ventricular lead perforation that presented as diaphragmatic pacing 9 months post-implantation.
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