Key result
A screw-in pacemaker lead migrated through the right ventricle, pericardium, diaphragm, and liver without causing relevant effusion or bleeding, and was successfully extracted.
Highlights a rare case of multiorgan perforation by a pacemaker lead without relevant pericardial effusion or intra-abdominal bleeding, successfully managed with lead extraction.
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Raises awareness for silent multiorgan lead perforation; hypothesis-generating for surveillance and extraction protocols.
Madershahian et al. (2010) studied this question. A screw-in pacemaker lead migrated through the right ventricle, pericardium, diaphragm, and liver without causing relevant effusion or bleeding, and was successfully extracted.
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