Hybrid Technique for a Rare Complication of Cardiac Devices Implantation.
Maria Moutafi, Ioannis Chaveles, Dimitrios Tzalas et al.
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Case in brief
A 90-year-old man presented with early cardiac lead perforation following device implantation. The diagnosis was suspected due to capture failure on the electrocardiogram and confirmed by chest computed tomography. A hybrid management approach was utilized for the removal of the malpositioned ventricular lead, demonstrating that timely intervention can be effective in older patients with this serious complication.
Diagnostic / clinical pearl
Early recognition of cardiac lead perforation through electrocardiogram changes and imaging is crucial for effective management.
Why it matters
This case highlights the importance of a hybrid approach in managing complications from cardiac device implantation, particularly in elderly patients.