Delayed perforation of an atrial pacemaker electrode: Lifelong risk for a rare but serious complication

Delayed perforation of an atrial pacemaker electrode: Lifelong risk for a rare but serious complication

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 le...

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Autores principales: Waechter, Christian, Koenig, Alexander M., Chatzis, Georgios, Mueller, Julian, Schieffer, Bernhard, Luesebrink, Ulrich
Formato: Artículo
Lenguaje:inglés
Publicado: Philipps-Universität Marburg 2023
Materias:
cardiac perforation
Medizin
pericardial effusion
CIED
pacemaker
atrial lead
tamponade
Medical sciences Medicine
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Sumario: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.
Notas:Gefördert durch den Open-Access-Publikationsfonds der UB Marburg.
DOI:10.1002/ccr3.7525

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