Asymptomatic right ventricular perforation by an implantable cardioverter defibrillator lead detected by home monitoring system

Federico Migliore, Loira Leoni, Gianluca Torregrossa, Cosimo Guglielmi, Giuseppe Tarantini, Gianfranco Buja, Sabino Iliceto, Domenico Corrado

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Right ventricular lead perforation is a rare but serious and potentially life-threatening complication of pacemaker or defibrillator lead implantation. This report describes a patient with Brugada syndrome in whom the diagnosis of asymptomatic right ventricular perforation by an implantable cardioverter defibrillator lead was detected 12 days after implantation, thanks to a report from home monitoring system. The patient was admitted to our institution, where the lead was explanted and replaced. This case illustrates the potential lifesaving benefit of the home monitoring system in patients with implantable cardioverter defibrillator.

Original languageEnglish
Pages (from-to)673-675
Number of pages3
JournalJournal of Electrocardiology
Volume43
Issue number6
DOIs
StatePublished - Nov 2010
Externally publishedYes

Keywords

  • Brugada syndrome
  • Home monitoring (HM) system
  • Implantable cardioverter defibrillator (ICD) lead perforation
  • Right ventricular perforation

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