Key result
Right ventricular perforation has a prevalence of 0.1-6%, and extraction of an asymptomatic, incidentally detected, chronically perforating lead does not seem to be necessary.
Why the study?
How should right ventricular perforation from pacemaker and ICD leads be identified and managed?
How should right ventricular perforation from pacemaker and ICD leads be identified and managed?
Answers are grounded in this paper and cite their sources.
Asymptomatic right ventricular lead perforations may be managed conservatively without extraction, while symptomatic cases require targeted intervention.
Right ventricular perforation is a rare but serious complication of permanent pacemaker and implantable cardioverter-defibrillator implantation, with a reported prevalence rate of 0.1-6%. Generally, there is a high incidence of asymptomatic lead perforation with otherwise normal function. Some patients present with a stabbing chest pain and shortness of breath or pacemaker malfunction. However, in some cases, tamponade or adjacent tissue injury may be seen. The exact risk factors for lead perforation are not yet clear. Furthermore, there are many controversies in the management of lead perforation. Extraction of an asymptomatic, incidentally detected, chronically perforating lead does not seem to be necessary. Patients with symptoms or device malfunction will require treatment appropriate for their problem.
No takes yet. Share an insight, caveat, or question.
Akbarzadeh et al. (2016) conducted a review in Right ventricular perforation. Extraction of asymptomatic perforating leads was evaluated. Right ventricular perforation has a prevalence of 0.1-6%, and extraction of an asymptomatic, incidentally detected, chronically perforating lead does not seem to be necessary.
Synapse has enriched 10 related papers. Consider them for comparative context: