Iatrogenic cardiac perforation due to pacemaker and defibrillator leads: a contemporary multicentre experience.
Peter Henry WaddinghamJames ElliottAlexander BatesJames BilhamAmal MuthumalaShohreh HonarbakhshWaqas UllahRoss J HunterPier D LambiaseRebecca E LaneAnthony W C ChowPublished in: Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology (2022)
Perforation was rare (0.50%) and managed successfully by a percutaneous strategy with good outcomes. Tamponade was associated with increased mortality and major complications. Anticoagulation status was an independent predictor of tamponade. Case complexity is highly variable and requires skilled operators with a multi-disciplinary approach to achieve good outcomes.