Asymptomatic anterior perforation of an ICD lead into subcutaneous tissues

John D. Fisher, Marshal Fox, Soo G. Kim, Daniel Goldstein, Linda B. Haramati

Research output: Contribution to journalArticlepeer-review

32 Scopus citations


A 71-year-old woman underwent routine impantable cardioverter defibrillator implantation. On a predischarge check the next day, electrical signals and thresholds were excellent and similar to those at implant. The chest X-ray was unremarkable and showed good lead position at the right ventricular apex (RVA). At a routine one-month postimplant visit, electrograms were found to be miniscule, and pacing could not be achieved. Chest X-ray and fluoroscopy suggested perforation, then this was confirmed by computed tomography scan. The tip of the lead was estimated to be within 7 mm of the surface of the skin. The system was removed surgically, and the patient continued to do well.

Original languageEnglish (US)
Pages (from-to)7-9
Number of pages3
JournalPACE - Pacing and Clinical Electrophysiology
Issue number1
StatePublished - Jan 2008


  • Implantable cardioverter/defibrillator
  • Lead perforation
  • Perforation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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