Lead perforation: incidence in registries.

摘要

Pacemaker and implantable defibrillator lead perforation, although relatively uncommon, is a recognized potential complication of pacemaker or defibrillator lead implantation. Published event rates range from 0.1% to 0.8% for pacemaker leads and 0.6-5.2% for implantable defibrillator leads.1 Although most perforations are recognized during or shortly after implantation, subacute and late perforations have also been reported. Khan and colleagues reported three cases of late perforation (detected more than one month after implant); two with right atrial and one with a right ventricular pacing lead.1 Subclinical lead perforation may occur more frequently.