title: Management of traumatic implantable cardioverter defibrillator lead perforation of the right ventricle after car accident: a case report.
abstract: The authors reported a case of traumatic implantable cardioverter defibrillator (ICD) lead perforation of the right ventricular (RV) apex caused by a motor vehicle accident. Clinical and echocardiographic features combined with changes in electrical parameters of the offending lead were decisive for the final diagnosis. Optimal management of ICD lead RV wall perforation is currently unclear. In our report, RV perforation was responsible for cardiac tamponade. This complication was uneventfully managed by open surgical procedure.
authors.affiliation: Division of Cardiology, Bentivoglio Hospital, Azienda USL di Bologna, via Marconi 35-40010 Bentivoglio, Bologna, Italy. biagio.sassone@ausl.bologna.it
authors.forename: Biagio
authors.initials: B
authors.lastname: Sassone
authors.forename: Luca
authors.initials: L
authors.lastname: Gabrieli
authors.forename: Giulio
authors.initials: G
authors.lastname: Boggian
authors.forename: Emanuele
authors.initials: E
authors.lastname: Pilato
mesh_terms: D000063:Accidents, Traffic; D000368:Aged; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D020878:Device Removal / Q000379:methods*; D004567:Electrodes, Implanted / Q000009:adverse effects*; D006352:Heart Ventricles / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D008297:Male; D016896:Treatment Outcome; D014950:Wounds, Penetrating / Q000209:etiology* / Q000601:surgery*