ArticleClinical practice and cases in emergency medicine2021
Pacemaker Lead Migration and Ventricular Perforation in a Patient Presenting with Chest Pain.
Article in Clinical practice and cases in emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 3 citations in OpenAlex.
- Apical Lead Position Increases the Risk of Right Ventricular Lead Perforation: A Retrospective Cohort Study.Pacing and clinical electrophysiology : PACE · 2026Article
- Cardiac Implantable Electronic Device Lead Perforation: A 25-Year Single-Center Experience.Journal of clinical medicine · 2026Article
- Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
case presentationWe describe a middle-age male with a past medical history of second-degree atrioventricular block type II status post permanent pacemaker placement the day prior who presented to the emergency department complaining of chest pain. Electrocardiography showed a non-paced ventricular rhythm. Chest radiograph showed the ventricular pacemaker lead located distally overlying the right ventricle apical area. On further investigation, chest computed tomography showed a perforation of the ventricular wall by the pacemaker lead prompting urgent intervention by the cardiothoracic surgery team for lead replacement and right ventricular repair. DISCUSSION: Our case illustrates the importance of timely recognition of a perforated pacemaker lead in a patient presenting with chest pain after device implantation. We additionally describe the risk factors for ventricular perforation, initial clinical presentation, and management approach.
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Registered trials
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