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Saprankov V.L.

Almazov National Medical Research Center

Bendov D.V.

Almazov National Medical Research Center

Ibragimov A.N.

Almazov National Medical Research Center

Gordeev M.L.

Almazov National Medical Research Center

Surgical management of delayed right heart perforation following antiarrhythmic device implantation

Authors:

Saprankov V.L., Bendov D.V., Ibragimov A.N., Gordeev M.L.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(4): 325‑332

DOI: 10.17116/kardio202114041325

Read: 3426 times

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Table of contents

SURGICAL MANAGEMENT OF DELAYED RIGHT HEART PERFORATION FOLLOWING ANTIARRHYTHMIC DEVICE IMPLANTATION
SURGICAL MANAGEMENT OF DELAYED RIGHT HEART PERFORATION FOLLOWING ANTIARRHYTHMIC DEVICE IMPLANTATION

To cite this article:

Saprankov VL, Bendov DV, Ibragimov AN, Gordeev ML. Surgical management of delayed right heart perforation following antiarrhythmic device implantation. Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(4):325‑332. (In Russ.)
https://doi.org/10.17116/kardio202114041325

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)
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Abstract:

The number of implantations of antiarrhythmic devices is highly increased for the last years due to expansion of indications for implantable cardioverter-defibrillators and pacemakers. This has led to inevitable increase of the absolute number of complications. Myocardial perforation by a lead is infrequent but potentially dangerous complication of antiarrhythmic devices implantation. Incidence of this event is 0.1—0.8% for pacemaker implantation and 0.6—5.2% for ICD. Optimal strategy for delayed myocardial perforation is still unclear. Some authors prefer open surgery. Other ones reported transvenous lead extraction under general anesthesia in electrophysiology laboratory with transesophageal echocardiography and available cardiac surgery team. However, this strategy cannot be used in some patients due to high risk of perioperative complications. We report successful surgical treatment of delayed right ventricle perforation by ICD lead with its simultaneous reposition via minimally invasive access in a high-risk patient.

Keywords:

implantable cardioverter-defibrillator
lead
complication
perforation
extraction
surgical management
reposition
minimally invasive access
thoracotomy

Authors:

Saprankov V.L.

Almazov National Medical Research Center

Bendov D.V.

Almazov National Medical Research Center

Ibragimov A.N.

Almazov National Medical Research Center

Gordeev M.L.

Almazov National Medical Research Center

Received:

19.01.2021

Accepted:

01.03.2021

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