AI Article Synopsis
- AICD lead perforation is a rare but serious complication, seen in about 0.1%-0.8% of patients, typically within the first 24 hours post-implantation.
- Perforations can be classified as acute, subacute, or delayed, with delayed cases being less common and often going undiagnosed due to minimal symptoms.
- A case study of a 44-year-old male who developed cardiac tamponade one month after receiving an AICD highlights the need for monitoring, as he underwent successful emergency treatment and was discharged after eight days in recovery.
Article Abstract
Automatic implantable cardioverter defibrillator (AICD) lead perforation is a rare but potentially life-threatening complication. AICD lead perforations are rare, occurring in approximately 0.1%-0.8% of patients, most commonly within 24 hours of the implantation. ICD lead perforations can be acute (within 24 hours of implantation), subacute (between day 1 and day 30), or delayed (>30 days postimplantation). Delayed lead perforations are rare compared to acute and subacute lead perforations and are not as well-studied because patients are often asymptomatic and are not diagnosed. Here, we report the case of a 44-year-old male who presented to the emergency department with pleuritic chest pain and dyspnea one-month status-post dual-chamber AICD. The patient demonstrated signs and symptoms of cardiac tamponade, which was confirmed with a 2D echocardiogram and computed tomography (CT) scans. Emergency pericardiocentesis was performed under general anesthesia, which restored hemodynamic stability. The right ventricular lead was repositioned and a pericardial drain was placed. The patient remained in the intensive care unit (ICU) for three days and was discharged to home on postoperative day 8.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11463902 | PMC |
| http://dx.doi.org/10.7759/cureus.68996 | DOI Listing |
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