Key result
Delayed right ventricular lead perforation can cause cardiac tamponade in the chronic phase after device implantation and may require surgical rather than percutaneous extraction.
Surgical rather than percutaneous lead extraction may be prudent for managing delayed right ventricular defibrillation lead perforation presenting as cardiac tamponade.
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May prompt surgical extraction consideration in delayed perforation with tamponade; leaves open need for systematic comparative data.
Right ventricular perforation leading to cardiac tamponade can occur during the chronic phase after cardiac device implantation. Physicians who manage the pacemaker clinic must be alert to the wide range of symptoms and signs that can accompany delayed right ventricular perforation. Surgical rather than percutaneous lead extraction may be prudent.
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Noguchi et al. (2017) studied this question. Delayed right ventricular lead perforation can cause cardiac tamponade in the chronic phase after device implantation and may require surgical rather than percutaneous extraction.
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