Case Report

Delayed Lead Perforation: Can We Ever Let the Guard Down?

Table 1

Previously published cases of delayed lead perforation showing patient age and the delay from implantation to perforation.

AuthorPublicationNumber of patientsAge in yearsTime from implantation to perforationComments

Ahmet AkyolPacing Clin Electrophysiol 2005; 28:350–3511246 months
Khan MNPacing Clin Electrophysiol 2005; 28:251–253326, 71, 816–10 months
Velavan PHeart 2003; 89:3641641 month
Satpathy RPacing Clin Electrophysiol 2008; 31:10–1217210 months
Haq SAAngiology 2008; 59:61918616 months
Ellenbogen KAPacing Clin Electrophysiol 2002; 25:1155–1158373, 72, 4230 days3/5 cases reported here were late perforations others being sub acute.
Kautzner JPacing Clin Electrophysiol 2001; 24:116–11813623 monthsSymptoms of pericarditis without perforation 4 months after implantation.
Polin GMAm J Cardiol. 2006 15; 98:223–5538, 55, 79, 85, 886 weeks–3years
Laborderie JAm J Cardiol 2008; 102:1352–1355835, 50, 40, 53, 64, 78, 81, 841–3.5 months8/11 cases reported here were late perforations.
Fisher JDPacing Clin Electrophysiol 2008; 31:7–917138 days
Krivan LPacing Clin Electrophysiol 2008; 31:3–61471 month1/2 cases reported here was late perforation the other was acute.
Lloyd MSPacing Clin Electrophysiol 2008; 31:784–7851686 weeks1/3 cases reported here was late perforation others being sub acute.
Suri RHeart Rhythm. 2007 Sep; 4(9):1248–91NA6 weeks1/5 cases reported here was late perforation others being sub acute.
Sadamatsu KJ Cardiol. 2009; 53(1):150–3.1NA9 monthsasymptomatic
Kanoh MKyobu Geka. 1994; 47:730–11803 monthsasymptomatic
Park REPacing Clin Electrophysiol 2008; 31:785–7861726 weeks
Singhal SCirculation. 2007; 115:e391-21507 yearsPerforated through the rib.
Wiegand UKPacing Clin Electrophysiol. 2003; 26(10):1961-91NA3 years1 case of delayed perforation in 116 implanted leads.
Sanoussi APacing Clin Electrophysiol. 2005; 28:723–7251791 month
Tziakas DEuropace 2009; 11:968–969.1845 weeks
Celik TEuropace 2009; 11:963–965.273, 658 months, 2 years
Tavernier REuropace. 2009; 11:966–71741 month