Key result
In three patients with delayed right ventricular perforation by pacemaker/AICD leads, all presented with syncope and were successfully managed with lead repositioning or new lead placement.
Why the study?
Delayed cardiac perforation by pacemaker or AICD leads is a life-threatening emergency that is often difficult to identify initially and requires active intervention.
Design
Case series
Authors
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Syncope in pacemaker patients should prompt perforation evaluation; case reports leave optimal management strategies open for prospective study.
Case Report (n=3)
Delayed cardiac perforation by pacemaker or AICD leads can present with syncope and be diagnosed via chest X-ray and echocardiography, requiring prompt intervention.
Kumar et al. (2021) conducted a case report in Delayed cardiac perforation following pacemaker/AICD insertion (n=3). Pacemaker/AICD lead insertion was evaluated on Clinical presentation and management of delayed cardiac perforation. In three patients with delayed right ventricular perforation by pacemaker/AICD leads, all presented with syncope and were successfully managed with lead repositioning or new lead placement.
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