August 1, 2010Open Access
View Full PaperLate Perforation by Cardiac Implantable Electronic Device Leads: Clinical Presentation, Diagnostic Clues, and Management
Structured PICO
What are the clinical features, diagnostic clues, and management strategies for late perforation by cardiac implantable electronic device leads?
P
Population
2 patients with late perforation caused by passive-fixation leads of cardiac implantable electronic devices
I
Intervention
Management of late lead perforation
O
Outcome
Clinical presentation, diagnosis, and management of late lead perforationsafety
Late intracardiac lead perforation is a potentially fatal complication of cardiac implantable electronic devices requiring early recognition and appropriate management.
Abstract
Late intracardiac lead perforation is defined as migration and perforation of an implanted lead after 1 month of cardiac electronic device implantation. It is an under-recognized complication with significant morbidity and mortality, particularly if not recognized early. Two patients with late perforation caused by passive-fixation leads are reported and the clinical features of their presentation and management are reviewed. We conducted a thorough review of the available English language literature pertaining to this complication to draw relevant conclusions regarding presentation, diagnosis, and management. Early recognition of this complication is important as the indications for and numbers of patients who receive cardiac implantable electronic devices continue to expand.