Highlights the rare but increasingly recognized complication of delayed defibrillator lead perforation.
Prompts vigilance for delayed lead perforation beyond early post-implant period; leaves open incidence and risk-factor questions.
Delayed intracardiac lead perforation has been defined as migration and perforation after one month of implantation. It is a rare complication; pathophysiology and optimal management are currently unclear. Recognition of these cases becomes important with increasing use of these devices. We describe such a case of delayed lead perforation.
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Satpathy et al. (2007) studied this question.
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