Asymptomatic anterior perforation of an ICD lead into subcutaneous tissues

John D. Fisher; Marshal Fox; Soo G. Kim; Daniel Goldstein; Linda B. Haramati

doi:10.1111/j.1540-8159.2007.00918.x

Asymptomatic anterior perforation of an ICD lead into subcutaneous tissues

John D. Fisher, Marshal Fox, Soo G. Kim, Daniel Goldstein, Linda B. Haramati

Research output: Contribution to journal › Article › peer-review

32 Scopus citations

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)
Pages (from-to)	7-9
Number of pages	3
Journal	PACE - Pacing and Clinical Electrophysiology
Volume	31
Issue number	1
DOIs	https://doi.org/10.1111/j.1540-8159.2007.00918.x
State	Published - Jan 2008

Keywords

Implantable cardioverter/defibrillator
Lead perforation
Perforation

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1111/j.1540-8159.2007.00918.x

Cite this

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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.",

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AU - Fisher, John D.

AU - Fox, Marshal

AU - Kim, Soo G.

AU - Goldstein, Daniel

AU - Haramati, Linda B.

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AB - 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.

KW - Implantable cardioverter/defibrillator

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KW - Perforation

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Asymptomatic anterior perforation of an ICD lead into subcutaneous tissues

Abstract

Keywords

ASJC Scopus subject areas

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