Clinical cardiology
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Clinical cardiology · Aug 2010
Review Case ReportsLate perforation by cardiac implantable electronic device leads: clinical presentation, diagnostic clues, and management.
Late intracardiac lead perforation is defined as migration and perforation of an implanted lead after 1 month of cardiac electronic device implantation. It is an under-recognized complication with significant morbidity and mortality, particularly if not recognized early. ⋯ We conducted a thorough review of the available English language literature pertaining to this complication to draw relevant conclusions regarding presentation, diagnosis, and management. Early recognition of this complication is important as the indications for and numbers of patients who receive cardiac implantable electronic devices continue to expand.