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Identification and Management of Right Ventricular Perforation Using Pacemaker and Cardioverter-Defibrillator Leads: A Case Series and Mini Review Publisher



Akbarzadeh MA1, 2 ; Mollazadeh R3 ; Sefidbakht S4 ; Shahrzad S5 ; Bahrololoumi Bafruee N6
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Authors Affiliations
  1. 1. Cardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  2. 2. Department of Cardiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  3. 3. Cardiology Department, Imam Khomeini Hospital, Tehran University of Medical Sciences, Iran
  4. 4. Pathology Department, Shariati Hospital, Tehran University of Medical Sciences, Iran
  5. 5. Shariati Research and Medical Center, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Razi Hospital, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of Arrhythmia Published:2017


Abstract

Right ventricular perforation is a rare but serious complication of permanent pacemaker and implantable cardioverter-defibrillator implantation, with a reported prevalence rate of 0.1–6%. Generally, there is a high incidence of asymptomatic lead perforation with otherwise normal function. Some patients present with a stabbing chest pain and shortness of breath or pacemaker malfunction. However, in some cases, tamponade or adjacent tissue injury may be seen. The exact risk factors for lead perforation are not yet clear. Furthermore, there are many controversies in the management of lead perforation. Extraction of an asymptomatic, incidentally detected, chronically perforating lead does not seem to be necessary. Patients with symptoms or device malfunction will require treatment appropriate for their problem. © 2016 The Authors
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