Late perforation of a passively fixated pacemaker lead through the right ventricle. A report and review of literature.
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ABSTRACT: Lead perforation is one of the serious complications associated with cardiac pacemakers and implantable cardiac defibrillators. Late perforations - occurring more than one month after placement - are exceedingly rare and are usually more associated with actively fixed leads rather than passively fixed tined leads. We present a case of blunt ended tined lead perforation after 4 months of implantation managed by a two-step hybrid minimally invasive approach consisting of mini-thoracotomy and lead tip transection, followed by trans-venous lead extraction. <Learning objective: Late perforation of a pacemaker lead (occurring more than one month after placement) is an exceedingly rare complication and is usually more associated with actively fixed leads rather than passively fixed tined l
SUBMITTER: Demo H
PROVIDER: S-EPMC6149285 | biostudies-literature | 2017 Nov
REPOSITORIES: biostudies-literature
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