An unusual presentation of implantable cardioverter-defibrillator lead perforation.
J Electrocardiol
; 42(3): 265-6, 2009.
Article
en En
| MEDLINE
| ID: mdl-18976778
ABSTRACT
INTRODUCTION:
Recently, there have been increased reports of implantable cardioverter-defibrillator (ICD) lead perforation. Controversy exists about the safety of certain leads. CASE REPORT A 37-year-old man with an ischemic cardiomyopathy presented four days postimplantation of an ICD lead with localized nonpleuritic chest wall pain. Imaging demonstrated proximity of the lead to the rib, suggestive of irritation of the periosteum. The lead was repositioned to the right ventricular septum without adverse effect on defibrillation.CONCLUSION:
Lead perforation presenting with focal chest pain due to rib irritation is unusual. Placement of ICD leads on the right ventricular septum should be considered to improve safety.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Heridas Penetrantes
/
Dolor en el Pecho
/
Desfibriladores Implantables
/
Electrodos Implantados
/
Ventrículos Cardíacos
Tipo de estudio:
Diagnostic_studies
Límite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
J Electrocardiol
Año:
2009
Tipo del documento:
Article
País de afiliación:
Estados Unidos