April 3, 2008Angiology
Late Presentation of a Lead Perforation as a Complication of Permanent Pacemaker Insertion
Key result
An 86-year-old patient presented with a delayed lead perforation 16 months after permanent pacemaker insertion, requiring surgical repair and new lead placement.
Population
86-year-old patient with a permanent pacemaker
Design
Case_report
Follow-up
16 months (time to presentation)
Authors
Discussion
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Member takes
Implication
Consider delayed lead perforation in elderly patients with late post-pacemaker symptoms; case report leaves incidence and risk factors open.
Study Design
Type
Case Report (n=1)
Structured PICO
P
Population
An 86-year-old patient who presented with a lead perforation 16 months following original pacemaker insertion.
E
Exposure
Surgical repair with sternotomy and new ventricular lead placement via transvenous approach at the right ventricular septum
O
Outcome
Management of late lead perforationsafety
Lead perforation can present as a late complication of permanent pacemaker insertion, requiring high clinical suspicion especially in the elderly.
Cite This Study
Haq et al. (2008) conducted a case report in Lead perforation following permanent pacemaker insertion (n=1). Permanent pacemaker insertion was evaluated. An 86-year-old patient presented with a delayed lead perforation 16 months after permanent pacemaker insertion, requiring surgical repair and new lead placement.