Key result
A right pneumothorax resulting from an endocardial screw-in atrial lead during ICD implantation resolved spontaneously and did not recur with conservative therapy alone.
Case Report (n=1)
Highlights a rare complication of right pneumothorax from an endocardial screw-in atrial lead during ICD implantation that can resolve with conservative management.
Conservative management may suffice for this rare lead complication; leaves open optimal thresholds for intervention pending larger series.
OGINOSAWA, Y., et al.: Right Pneumothorax Resulting from an Endocardial Screw‐In Atrial Lead in an Implantable Cardioverter Defibrillator System. This report describes a rare case of a patient undergoing implantation of a cardioverter defibrillator in whom a right pneumothorax resulting from an endocardial screw‐in atrial lead was observed. Pericardial effusion, substantial changes in lead impedance, and pacing and sensing thresholds were not observed. Pneumothorax disappeared spontaneously and has not reoccurred during follow‐up with conservative therapy alone.
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Oginosawa et al. (2002) conducted a case report in Right pneumothorax during ICD implantation (n=1). Endocardial screw-in atrial lead implantation was evaluated on Right pneumothorax. A right pneumothorax resulting from an endocardial screw-in atrial lead during ICD implantation resolved spontaneously and did not recur with conservative therapy alone.
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