Key result
Conservative management of a delayed atrial lead perforation was safe over a 14-year follow-up, allowing for successful leadless pacemaker implantation after subsequent battery depletion.
Why the study?
Delayed lead perforation is a rare CIED complication with presentations ranging from asymptomatic to tamponade, and alternative management strategies are needed when recommended lead extraction is refused.
Population
1 male patient with paroxysmal atrial fibrillation and sick sinus syndrome
Design
Case report
Follow-up
14 years
Authors
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May support conservative management of delayed perforation in select cases; hypothesis-generating, should not yet change practice.
Case Report (n=1)
No
Conservative management of delayed lead perforation without complications may be feasible, and leadless pacemakers offer a viable alternative for patients with abandoned leads and battery depletion.
Zhao et al. (2024) conducted a case report in Delayed atrial lead perforation and battery depletion (n=1). Conservative management and subsequent leadless pacemaker implantation was evaluated on Clinical stability and absence of perforation-related complications. Conservative management of a delayed atrial lead perforation was safe over a 14-year follow-up, allowing for successful leadless pacemaker implantation after subsequent battery depletion.
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