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KMID : 1011920140150030069
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International Journal of Arrhythmia
2014 Volume.15 No. 3 p.69 ~ p.71
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Right Heart Penetration Injury by Screw-In Pacing Leads
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Park Jong-Sung
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Abstract
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A 45-year-old male patient complained of chest pain after dual chamber implantable cardioverter defibrillator implantation. No abnormal findings were detected by fluoroscopy and echocardiography examinations. Chest computed tomography (CT) showed the screw of the active fixation lead penetrating the right atrial pericardium. Chest pain disappeared after removal of the right atrial lead. A 65-year-old male patient complained of chest pain and epigastric pain after dual chamber pacemaker implantation. No abnormal findings were detected by fluoroscopy and echocardiography examinations. Chest CT showed the right atrial and ventricular lead tips very close to the pericardium, suggestive of pericardial penetration by the screws of the active fixation leads. The chest pain disappeared after reinsertion of the right atrial and ventricular tined leads.
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KEYWORD
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pacemaker, complication, perforation
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