How to Avoid and Manage CIED Implantation-Related Complications-How to Avoid a Hole in the Heart During Device Implantation? (Presenter: Marwan M. Refaat, MD, FHRS)

How to Avoid a Hole in the Heart During Device Implantation? (Presenter: Marwan M. Refaat, MD, FHRS)

Video Transcription

Video Summary

The video discusses how to avoid perforation during the implantation of cardiac devices. It provides an overview of the epidemiology of cardiac perforation, the contributing factors, diagnosis, management, and strategies to avoid myocardial perforation. The incidence of perforation varies depending on the type of device, with pacemakers having a lower risk compared to ICDs and leadless pacemakers. Contributing factors include patient characteristics, lead size and fixation mechanism, and the implantation technique. Diagnosis is based on clinical findings, EKG, X-ray, echo, CT scan, and interrogation of the device. Management options depend on the severity of perforation and include observation, pericardial synthesis, and lead repositioning. Strategies to avoid perforation involve careful patient selection, use of appropriate lead size and fixation mechanism, and meticulous implantation technique. In conclusion, maintaining a high index of suspicion and implementing strategies to decrease the risk of cardiac perforation are important in device implantation.

Meta Tag

Lecture ID 4513

Location Room 155

Presenter Marwan M. Refaat, MD, FHRS

Role Invited Speaker

Session Date and Time May 10, 2019 4:30 PM - 6:00 PM

Session Number S-088

Keywords

cardiac devices

perforation

epidemiology

diagnosis

management