Delayed pacemaker lead perforation can present as acute pericarditis with tamponade and requires a multidisciplinary approach for safe extraction.
May support team-based care for delayed lead perforation; leaves open need for prospective data before practice change.
This case contributes to practice change in the management of pacemaker lead perforation as lead perforations are often managed with lead extraction under transesophageal echocardiography guidance with surgery on standby.Furthermore, this case highlighted a team-based approach to patient care in management of rare and complicated cases, such as delayed lead perforation, by exemplifying the importance of multidisciplinary input, including cardiac electrophysiologists, cardiovascular and thoracic surgeons, and intensive care physicians.
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Nader et al. (2024) studied this question.
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