Key result
A left-sided dual chamber pacemaker implantation using a J-shaped active-fixation lead resulted in a contralateral right-sided pneumothorax due to right atrial wall perforation.
Case Report (n=1)
Highlights the risk of contralateral pneumothorax from atrial lead perforation and suggests passive or straight active-fixation leads may reduce perforation risk.
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Alerts to rare contralateral pneumothorax risk after atrial lead perforation; hypothesis-generating for lead design modifications.
Hugo Van Herendael (2009) conducted a case report in Contralateral pneumothorax after pacemaker implantation (n=1). J-shaped active-fixation atrial lead vs. Passive-fixation or straight active-fixation leads was evaluated on Perforation and pericardial complications. A left-sided dual chamber pacemaker implantation using a J-shaped active-fixation lead resulted in a contralateral right-sided pneumothorax due to right atrial wall perforation.
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