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Incidental detection of single coil right ventricular lead perforation during aortic valve surgery.

Authors :
Herrmann FEM
Juchem G
Hagl C
Schramm R
Sadoni S
Source :
Journal of cardiovascular electrophysiology [J Cardiovasc Electrophysiol] 2019 Aug; Vol. 30 (8), pp. 1371-1372. Date of Electronic Publication: 2019 Jul 12.
Publication Year :
2019

Abstract

It is unknown how many pacemaker and implantable cardioverter defibrillator (ICD) leads perforate during lead placement. Symptoms of a perforated lead include shortness of breath and chest pain. Signs of perforation can include a high pacing threshold, reduced lead sensing, and a high lead impedance. We present the case of a patient where perforation of the single coil right ventricular lead was not evident in imaging but incidentally detected during operative aortic valve replacement. The lead perforation rate during device implantation is around 1%-ICD leads have a higher perforation rate.<br /> (© 2019 Wiley Periodicals, Inc.)

Details

Language :
English
ISSN :
1540-8167
Volume :
30
Issue :
8
Database :
MEDLINE
Journal :
Journal of cardiovascular electrophysiology
Publication Type :
Report
Accession number :
31115942
Full Text :
https://doi.org/10.1111/jce.13998