We present an unusual case of a delayed right ventricular perforation by a single standard-caliber implantable cardioverter-defibrillator lead, which manifested 14 days after implantation. Multidetector computed tomography could clearly display the lead perforation, and allow for identification of the associated sequelae such as pericardial effusion and planning the lead extraction strategy.
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http://dx.doi.org/10.4070/kcj.2011.41.11.689 | DOI Listing |
Ann Gastroenterol
January 2022
Division of Gastroenterology, Department of Medicine, University of California San Diego, USA (M. Phillip Fejleh, Michael Chang, Gobind Anand, Thomas J. Savides).
Background: Treatment options for malignant bowel obstruction are limited, particularly in poor surgical candidates. Standard percutaneous endoscopic gastrostomy (PEG) tubes used for venting are of small caliber, limiting success. This study examines outcomes in patients who received larger-caliber 30-Fr PEGs for treatment of malignant bowel obstruction.
View Article and Find Full Text PDFKorean Circ J
November 2011
Department of Cardiovascular Medicine, Kobe City Medical Center General Hospital, Kobe, Japan.
We present an unusual case of a delayed right ventricular perforation by a single standard-caliber implantable cardioverter-defibrillator lead, which manifested 14 days after implantation. Multidetector computed tomography could clearly display the lead perforation, and allow for identification of the associated sequelae such as pericardial effusion and planning the lead extraction strategy.
View Article and Find Full Text PDFHeart Rhythm
May 2009
University of Michigan, Cardiovascular Center, Ann Arbor, Michigan 48109, USA.
Background: Increased rates of complications related to the use of small-diameter implantable cardioverter-defibrillator (ICD) leads have been reported. Lead design and engineering aimed at reducing ICD lead diameter may increase associated subacute complications, including cardiac perforation, lead dislodgement, or lead failure.
Objective: The purpose of this study was to determine whether lead caliber altered the risk of perforation, lead dislodgement, or lead failure in a single center.
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