Abstract
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 language | English (US) |
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Pages (from-to) | 7-9 |
Number of pages | 3 |
Journal | PACE - Pacing and Clinical Electrophysiology |
Volume | 31 |
Issue number | 1 |
DOIs | |
State | Published - Jan 2008 |
Keywords
- Implantable cardioverter/defibrillator
- Lead perforation
- Perforation
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine