Key result
A 92-year-old man experienced left ventricular perforation by a right ventricular pacing lead, which was successfully managed with transvenous lead extraction and lead repositioning.
Why the study?
Perforation of the interventricular septum and left ventricular free wall by a right ventricular lead is an extremely rare and potentially life-threatening complication of pacemaker implantation.
Population
A 92-year-old man with complete atrioventricular block
Design
Case report
Authors
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Supports feasibility of transvenous extraction for this rare perforation; hypothesis-generating given single case.
Case Report (n=1)
No
This case demonstrates that transvenous lead extraction can be safely performed to manage the rare and life-threatening complication of left ventricular perforation by a right ventricular pacemaker lead.
Huang et al. (2023) conducted a case report in Complete atrioventricular block with pacemaker lead perforation (n=1). Transvenous lead extraction and repositioning was evaluated on Resolution of pacemaker failure and lead perforation. A 92-year-old man experienced left ventricular perforation by a right ventricular pacing lead, which was successfully managed with transvenous lead extraction and lead repositioning.
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