AUTHOR=Wang Zefeng , Yuan Zhongyu , Li Haiwei , Zhang Ke , Zhang Hongkai , Li Xiaoyan , Wang Changhua , Tian Yilun , Shen Yiqing , Zhang Xiaoping , Wu Yongquan 

TITLE=Atrial lead perforation early after device implantation—a case report and literature review

JOURNAL=Frontiers in Surgery

VOLUME=11

YEAR=2024

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2024.1290574

DOI=10.3389/fsurg.2024.1290574

ISSN=2296-875X

ABSTRACT=<p>We report three patients with screw-in lead perforation in the right atrial free wall not long after device implantation. All the patients complained of intermittent stabbing chest pain associated with deep breathing during the implantation. The “dry” epicardial puncture was utilized to avoid hemopericardium during lead extraction in the first case. The atrial electrode was repositioned in all cases and replaced by a new passive fixation lead in two patients with resolution of the pneumothorax or pericardial effusion. A literature review of 50 reported cases of atrial lead perforation was added to the findings in our case report.</p>