Delayed Right Ventricular Perforation by a Transvenous Active Fixation Implantable Cardioverter-Defibrillator Lead

Ferrero-de-Loma-Osorio, Ángel; Albors-Martín, José; Ruiz‐Granell, Ricardo; Domínguez-Mafé, Eloy; Bahamonde-Romano, José Ángel; Palau, Patricia; Boix-Garibo, Ricardo

doi:10.1161/circulationaha.108.829788

Cited by 5 publications

(3 citation statements)

References 8 publications

(4 reference statements)

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“…Patients with late lead perforation might have a variety of presenting symptoms 8–33. Symptoms might include any of extracardiac muscle stimulation, chest pain, or shortness of breath reflecting any of pneumothorax, hemothorax, hemopneumothorax, pneumomediastinum, and/or pericardial tamponade 9,10,14.…”

Section: Resultsmentioning

confidence: 99%

Late Perforation by Cardiac Implantable Electronic Device Leads: Clinical Presentation, Diagnostic Clues, and Management

Refaat

Hashash

Shalaby

2010

Clinical Cardiology

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Late intracardiac lead perforation is defined as migration and perforation of an implanted lead after 1 month of cardiac electronic device implantation. It is an under‐recognized complication with significant morbidity and mortality, particularly if not recognized early. Two patients with late perforation caused by passive‐fixation leads are reported and the clinical features of their presentation and management are reviewed. We conducted a thorough review of the available English language literature pertaining to this complication to draw relevant conclusions regarding presentation, diagnosis, and management. Early recognition of this complication is important as the indications for and numbers of patients who receive cardiac implantable electronic devices continue to expand. Copyright © 2010 Wiley Periodicals, Inc. The authors have no funding, financial relationships, or conflicts of interest to disclose.

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Section: Resultsmentioning

confidence: 99%

Late Perforation by Cardiac Implantable Electronic Device Leads: Clinical Presentation, Diagnostic Clues, and Management

Refaat

Hashash

Shalaby

2010

Clinical Cardiology

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Section: Conventional Approaches To Treat Cardiovascular Diseasesmentioning

confidence: 99%

“…However, these devices have inherent limitations, with most concerns lying in the rigidity of their materials (Figure c). , The rigidity of material components in these devices can pose significant challenges in terms of their integration with soft and pliable heart tissues. When implanted, there could be device dislodgment, tissue injury even leading to perforation of the heart, or suboptimal device performance, undermining their long-term effectiveness . Another noteworthy limitation associated with conventional electrical therapies is their mode of implantation, typically transvenous approaches.…”

Section: Conventional Approaches To Treat Cardiovascular Diseasesmentioning

confidence: 99%

Next-Generation Cardiac Interfacing Technologies Using Nanomaterial-Based Soft Bioelectronics

Han,

Sunwoo,

Park

et al. 2024

ACS Nano

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Cardiac interfacing devices are essential components for the management of cardiovascular diseases, particularly in terms of electrophysiological monitoring and implementation of therapies. However, conventional cardiac devices are typically composed of rigid and bulky materials and thus pose significant challenges for effective long-term interfacing with the curvilinear surface of a dynamically beating heart. In this regard, the recent development of intrinsically soft bioelectronic devices using nanocomposites, which are fabricated by blending conductive nanofillers in polymeric and elastomeric matrices, has shown great promise. The intrinsically soft bioelectronics not only endure the dynamic beating motion of the heart and maintain stable performance but also enable conformal, reliable, and large-area interfacing with the target cardiac tissue, allowing for high-quality electrophysiological mapping, feedback electrical stimulations, and even mechanical assistance. Here, we explore nextgeneration cardiac interfacing strategies based on soft bioelectronic devices that utilize elastic conductive nanocomposites. We first discuss the conventional cardiac devices used to manage cardiovascular diseases and explain their undesired limitations. Then, we introduce intrinsically soft polymeric materials and mechanical restraint devices utilizing soft polymeric materials. After the discussion of the fabrication and functionalization of conductive nanomaterials, the introduction of intrinsically soft bioelectronics using nanocomposites and their application to cardiac monitoring and feedback therapy follow. Finally, comments on the future prospects of soft bioelectronics for cardiac interfacing technologies are discussed.

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Late cardiac perforation: a persistent risk of cardiac implantable device leads

Sharma

Geelani

Kumar

2014

Indian J Thorac Cardiovasc Surg

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Lead perforation is a rare complication of implantable cardiac devices. Late lead perforation is defined as the one occurring after 30 days of implantation. Majority of these cases of lead perforation occurs within 1 year of implantation. We report a case of lead perforation which was managed by percutaneous transvenous removal in the operating room with a cardiac surgery team kept on standby and present a detailed review of existing literature on this rare but interesting problem.

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Delayed Right Ventricular Perforation by a Transvenous Active Fixation Implantable Cardioverter-Defibrillator Lead

Cited by 5 publications

References 8 publications

Late Perforation by Cardiac Implantable Electronic Device Leads: Clinical Presentation, Diagnostic Clues, and Management

Late Perforation by Cardiac Implantable Electronic Device Leads: Clinical Presentation, Diagnostic Clues, and Management

Next-Generation Cardiac Interfacing Technologies Using Nanomaterial-Based Soft Bioelectronics

Late cardiac perforation: a persistent risk of cardiac implantable device leads

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