Surgical revision with epicardial leads successfully resolved right ventricular perforation by ICD leads in two patients, restoring satisfactory electrical parameters and ICD function.
Answers are grounded in this paper and cite their sources.
May offer an option for ICD lead perforation; leaves open need for larger studies on durability and safety.
The authors present two cases of patients with perforation of the right ventricular wall by the implantable cardioverter defibrillator (ICD) lead. The complication was resolved by cardiosurgical revision and epicardial leads stitched onto the diaphragmatic wall of the heart. The perforation was identified by electrical parameter changes of the leads, echocardiography, and computed tomography. Both patients had satisfactory values of electrical parameters and ICD function with epicardial leads. The importance of regular follow-up and a check of the lead parameters are emphasized.
No takes yet. Share an insight, caveat, or question.
Křivan et al. (2007) studied this question.
Synapse has enriched 10 related papers. Consider them for comparative context: