Incidental detection of single coil right ventricular lead perforation during aortic valve surgery. (12th July 2019)

• Record Type: Journal Article
• Authors: Herrmann, Florian E. M.; Juchem, Gerd; Hagl, Christian; Schramm, René; Sadoni, Sebastian
• Is Part Of: Journal of cardiovascular electrophysiology. Volume 30:Number 8(2019)
• Page Start: 1371
• Page End: 1372
• Publication Date: 2019-07-12
• Subjects: aortic valve surgery -- implantable cardioverter defibrillator -- lead perforation -- lead removal; Blood vessels -- Physiology -- Periodicals; Electrophysiology -- Periodicals; Heart -- Physiology -- Periodicals; 612.1
• DOI: 10.1111/jce.13998
• Languages: English
• ISSNs: 1045-3873

Abstract

Abstract: It is unknown how many pacemaker and implantable cardioverter defibrillator (ICD) leads perforate during lead placement. Symptoms of a perforated lead include shortness of breath and chest pain. Signs of perforation can include a high pacing threshold, reduced lead sensing, and a high lead impedance. We present the case of a patient where perforation of the single coil right ventricular lead was not evident in imaging but incidentally detected during operative aortic valve replacement. The lead perforation rate during device implantation is around 1%—ICD leads have a higher perforation rate.