Key result
Percutaneous instillation of cyanoacrylate glue successfully sealed a right ventricular perforation causing cardiac tamponade secondary to a temporary pacemaker lead.
Percutaneous instillation of cyanoacrylate glue may be a viable nonsurgical alternative for managing cardiac tamponade caused by temporary pacemaker lead perforation.
May offer a nonsurgical bailout for rare lead-perforation tamponade; leaves open safety and efficacy questions pending larger series.
Right ventricular perforation secondary to temporary pacemaker lead, resulting in cardiac tamponade, is a rare but life-threatening complication. Surgery is usually the definitive management described for such cases. We describe successful sealing of such a perforation by percutaneous instillation of cyanoacrylate glue, through a guiding catheter in the pericardial sac at the perforation site.
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Trehan et al. (2005) studied this question. Percutaneous instillation of cyanoacrylate glue successfully sealed a right ventricular perforation causing cardiac tamponade secondary to a temporary pacemaker lead.
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