ADVANCED ULTRASOUND IN DIAGNOSIS AND THERAPY >

2018 , Vol. 2 >Issue 2: 161 - 163

DOI: https://doi.org/10.37015/AUDT.2018.180817

Case Report

Subacute Right Ventricular Pacing Lead Perforation Diagnosed by Echocardiography

  • Xie, MD Jinjie ,
  • Li, MD Rongjuan ,
  • Luo, MD Taiyang ,
  • Yang, MD Ya
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  • a Department of Ultrasound, Anzhen Hospital of Capital Medical University, Beijing, China
    b Department of Cardiology, Anzhen Hospital of Capital Medical University, Beijing, China

Received date: 2018-05-28

  Online published: 2018-08-19

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Abstract

A 69-year-old woman with sick sinus syndrome underwent permanent pacemaker implantation in our hospital. A mild and persistent chest pain occurred 2 days after device implantation, and myocardial perforation without pericardial effusion was found at the tip of the right ventricular lead by two-dimensional transthoracic echocardiography. The diagnosis was then confirmed by fluoroscopy, and the lead was repositioned under fluoroscopic guidance.

Key words： cardiac pacing; myocardial perforation; echocardiography

Cite this article

Xie, MD Jinjie , Li, MD Rongjuan , Luo, MD Taiyang , Yang, MD Ya . Subacute Right Ventricular Pacing Lead Perforation Diagnosed by Echocardiography[J]. ADVANCED ULTRASOUND IN DIAGNOSIS AND THERAPY, 2018 , 2(2) : 161 -163 . DOI: 10.37015/AUDT.2018.180817

References

[1] Carlson MD, Freedman RA, Levine PA. Lead perforation: incidence in registries. Pacing Clin Electrophysiol 2008; 31:13-5
[2] Mahapatra S, Bybee KA, Bunch TJ, Espinosa RE, Sinak LJ McGoon MD, et al. Incidence and predictors of cardiac perforation after permanent pacemaker placement. Heart Rhythm 2005; 2:907-911.
[3] Migliore F, Zorzi A, Bertaglia E, Leoni L, Siciliano M, De Lazzari M, et al. Incidence, management, and prevention of right ventricular perforation by pacemaker and implantable cardioverter defibrillator leads. Pacing Clin Electrophysiol 2014; 37:1602-9
[4] Refaat MM, Hashash JG, Shalaby AA. Late perforation by cardiac implantable electronic device leads: clinical presentation, diagnostic clues, and management. Clin Cardiol 2010; 33:466-75.
[5] Sugano A, Seo Y, Atsumi A, Yamamoto M, Machino-Ohtuska T, Kawamura R, et al. Three-dimensional echocardiography in the diagnosis of pacemaker lead perforation. J Echocardiogr 2012; 10:141-2
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