Dokument
| Titel: | Delayed perforation of an atrial pacemaker electrode: Lifelong risk for a rare but serious complication |
| Autor: | Waechter, Christian |
| Weitere Verfasser: | Koenig, Alexander M.; Chatzis, Georgios; Mueller, Julian; Schieffer, Bernhard; Luesebrink, Ulrich |
| Veröffentlicht: | 2023 |
| URI: | https://archiv.ub.uni-marburg.de/es/2024/0778 |
| URN: | urn:nbn:de:hebis:04-es2024-07783 |
| DOI: | https://doi.org/10.1002/ccr3.7525 |
| DDC: | 610 Medizin |
| Publikationsdatum: | 2024-01-23 |
| Lizenz: | https://creativecommons.org/licenses/by-nc/4.0/ |
| Schlagwörter: |
|---|
| cardiac perforation, pericardial effusion, CIED, pacemaker, atrial lead, tamponade |
Summary:
We report the successful percutaneous management of a 77-year-
old
woman who
had a dual-chamber
pacemaker implanted more than 1 year ago and presented
with pericarditis pain and compensated pericardial hemorrhagic tamponade. The
symptoms were due to very late acute perforation of the atrial lead. This report is
intended to raise awareness of procedure-related
complications in the large group
of cardiovascular implantable electronic device patients. Pleuritic or pericardial
pain in these patients should raise suspicion of electrode perforation, as the risk
of perforation is not restricted to the period immediately after implantation and a
lifelong risk cannot apparently be excluded.
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