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Right ventricle perforation by defibrillation lead – a conservative approach? A case report.


Authors: M. Sepši;  M. Kozák;  L. Křivan
Authors place of work: LF MU a FN Brno, pracoviště Bohunice msepsi@fnbrno. cz ;  Interní kardiologická klinika
Published in the journal: Kardiol Rev Int Med 2007, 9(1): 40-44
Category: Editorial

Summary

Lead perforation is a rare complication of implantation of defibrillation electrode. We report a patient in whom the right ventricle was perforated by defibrillation ventricular lead during the implantation procedure. The perforated lead was left in stable position and additional pace/sense lead was inserted into the right ventricular apex. The preferable solution recommended by several references is the lead extraction. However we report possibility of leaving perforated lead in the stable position, if, the risk of extraction is high.

Keywords:
right ventricle perforation, implantable – cardioverter defibrillator


Zdroje

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5.Shohat-Zabarski R, Kusniec J, Strasberg B. Perforation of the right ventricular free wall by an active fixation transvenous cardioverter defibrillator lead. Pacing Clin Electrophysiol 1999; 22: 1118-1119.

6.Wollmann CG, Bocker D, Loher A et al. Incidence of complications in patients with implantable cardioverter/defibrillator who receive additional transvenous pace/sense leads. Pacing Clin Electrophysiol 2005; 28: 795-800.

Štítky
Paediatric cardiology Internal medicine Cardiac surgery Cardiology
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