Key result
Non-gated imaging diagnoses traumatic ICD lead perforation into the pericardium across two presentations.
Why the study?
Iatrogenic traumatic perforation of an ICD electrode through the right ventricular myocardium to the pericardium presents diagnostic and management challenges.
Comparison
Cases with and without pericardial effusion
Design
Case report
Authors
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Alerts clinicians to rare post-ICD lead perforation with tamponade; leaves open whether clinical diagnosis alone suffices without gated CT.
Case Report (n=2)
ICD lead perforation can present with varying clinical pictures, from cardiac tamponade to loss of capture, and can be diagnosed without gated CT.
Olesen et al. (2020) conducted a case report in Iatrogenic traumatic perforation of an ICD electrode (n=2). ICD electrode perforation was evaluated. Iatrogenic traumatic perforation of an ICD electrode to the pericardium was diagnosed without gated CT in two cases, presenting with and without pericardial effusion.
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