Key result
Active fixation transvenous ICD leads can perforate the right ventricular free wall, with lead type and underlying organic heart disease appearing as important risk factors.
Population
A 58-year-old patient with dilated cardiomyopathy
Design
Case_report
Follow-up
postoperative course
Authors
Loading...
May warrant vigilance for RV perforation with active fixation leads in organic heart disease; leaves open optimal lead selection pending larger studies.
Active fixation transvenous ICD leads may pose a risk of right ventricular free wall perforation, particularly in patients with dilated cardiomyopathy.
Shohat‐Zabarski et al. (1999) studied this question. Active fixation transvenous ICD leads can perforate the right ventricular free wall, with lead type and underlying organic heart disease appearing as important risk factors.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: