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Delayed perforation of an atrial pacemaker electrode: Lifelong risk for a rare but serious complication
KEY CLINICAL MESSAGE: Nonspecific symptoms such as pleuritic or pericardial chest pain in cardiovascular implantable electronic devices patients, even with unremarkable ECG or device parameters, should always raise suspicion of electrode perforation, regardless of how long ago the implantation was p...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10268212/ https://www.ncbi.nlm.nih.gov/pubmed/37327138 http://dx.doi.org/10.1002/ccr3.7525 |
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author | Waechter, Christian Koenig, Alexander M. Chatzis, Georgios Mueller, Julian Schieffer, Bernhard Luesebrink, Ulrich |
author_facet | Waechter, Christian Koenig, Alexander M. Chatzis, Georgios Mueller, Julian Schieffer, Bernhard Luesebrink, Ulrich |
author_sort | Waechter, Christian |
collection | PubMed |
description | KEY CLINICAL MESSAGE: Nonspecific symptoms such as pleuritic or pericardial chest pain in cardiovascular implantable electronic devices patients, even with unremarkable ECG or device parameters, should always raise suspicion of electrode perforation, regardless of how long ago the implantation was performed. ABSTRACT: We report the successful percutaneous management of a 77‐year‐old woman who had a dual‐chamber pacemaker implanted more than 1 year ago and presented with pericarditis pain and compensated pericardial hemorrhagic tamponade. The symptoms were due to very late acute perforation of the atrial lead. This report is intended to raise awareness of procedure‐related complications in the large group of cardiovascular implantable electronic device patients. Pleuritic or pericardial pain in these patients should raise suspicion of electrode perforation, as the risk of perforation is not restricted to the period immediately after implantation and a lifelong risk cannot apparently be excluded. |
format | Online Article Text |
id | pubmed-10268212 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-102682122023-06-15 Delayed perforation of an atrial pacemaker electrode: Lifelong risk for a rare but serious complication Waechter, Christian Koenig, Alexander M. Chatzis, Georgios Mueller, Julian Schieffer, Bernhard Luesebrink, Ulrich Clin Case Rep Case Report KEY CLINICAL MESSAGE: Nonspecific symptoms such as pleuritic or pericardial chest pain in cardiovascular implantable electronic devices patients, even with unremarkable ECG or device parameters, should always raise suspicion of electrode perforation, regardless of how long ago the implantation was performed. ABSTRACT: We report the successful percutaneous management of a 77‐year‐old woman who had a dual‐chamber pacemaker implanted more than 1 year ago and presented with pericarditis pain and compensated pericardial hemorrhagic tamponade. The symptoms were due to very late acute perforation of the atrial lead. This report is intended to raise awareness of procedure‐related complications in the large group of cardiovascular implantable electronic device patients. Pleuritic or pericardial pain in these patients should raise suspicion of electrode perforation, as the risk of perforation is not restricted to the period immediately after implantation and a lifelong risk cannot apparently be excluded. John Wiley and Sons Inc. 2023-06-15 /pmc/articles/PMC10268212/ /pubmed/37327138 http://dx.doi.org/10.1002/ccr3.7525 Text en © 2023 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Case Report Waechter, Christian Koenig, Alexander M. Chatzis, Georgios Mueller, Julian Schieffer, Bernhard Luesebrink, Ulrich Delayed perforation of an atrial pacemaker electrode: Lifelong risk for a rare but serious complication |
title | Delayed perforation of an atrial pacemaker electrode: Lifelong risk for a rare but serious complication |
title_full | Delayed perforation of an atrial pacemaker electrode: Lifelong risk for a rare but serious complication |
title_fullStr | Delayed perforation of an atrial pacemaker electrode: Lifelong risk for a rare but serious complication |
title_full_unstemmed | Delayed perforation of an atrial pacemaker electrode: Lifelong risk for a rare but serious complication |
title_short | Delayed perforation of an atrial pacemaker electrode: Lifelong risk for a rare but serious complication |
title_sort | delayed perforation of an atrial pacemaker electrode: lifelong risk for a rare but serious complication |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10268212/ https://www.ncbi.nlm.nih.gov/pubmed/37327138 http://dx.doi.org/10.1002/ccr3.7525 |
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