Assessment of Cardiac Lead Perforation: Comparison Among Chest Radiography, Transthoracic Echocardiography and Electrocardiography-gated Contrast-enhanced Cardiac CT

European Radiology
Xiang ZhangJun Shen

Abstract

Cardiac lead perforation is a rare but potentially life-threatening event. The purpose of this study was to investigate the diagnostic performances of chest radiography, transthoracic echocardiography (TTE) and electrocardiography (ECG)-gated contrast-enhanced cardiac CT in the assessment of cardiac lead perforation. This retrospective study was approved by the ethics review board of Sun Yat-Sen Memorial Hospital at Sun Yat-Sen University (Guangzhou, China), and the need to obtain informed consent was waived. Between May 2010 and Oct 2017, 52 patients were clinically suspected to have a cardiac lead perforation and received chest radiography, TTE and ECG-gated contrast-enhanced cardiac CT. Among them, 13 patients were identified as having cardiac lead perforation. The diagnostic performances of these three modalities were evaluated by receiver-operating characteristic (ROC) curves using a composite reference standard of surgical and electrophysiological results and clinical follow-up. The areas under ROCs (AUROCs) were compared with the McNemar test. The accuracies of chest radiography, TTE and ECG-gated contrast-enhanced cardiac CT imaging for the diagnosis of cardiac lead perforation were 73.1%, 82.7% and 98.1%, respectively....Continue Reading

References

Oct 3, 2002·Pacing and Clinical Electrophysiology : PACE·Kenneth A EllenbogenRichard K Shepard
May 13, 2006·Pacing and Clinical Electrophysiology : PACE·Charles A HenriksonJeffrey A Brinker
Jan 24, 2007·Pacing and Clinical Electrophysiology : PACE·David A HirschlLinda B Haramati
Sep 18, 2007·The American Journal of the Medical Sciences·Ramanna MerlaSalvatore Rosanio
Jun 27, 2013·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·UNKNOWN European Society of Cardiology (ESC)Panos E Vardas
May 28, 2014·Journal of Cardiovascular Electrophysiology·Xin-Miao HuangYong-Mei Cha
Jul 31, 2014·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·Derick ToddUNKNOWN Scientific Initiative Committee, European Heart Rhythm Association
Sep 10, 2014·Pacing and Clinical Electrophysiology : PACE·Robert K LewisJonathan P Piccini
Mar 19, 2015·Case Reports in Cardiology·Julianne NicholsDebapriya Datta
May 31, 2015·Diagnostic and Interventional Imaging·T KirchgesnerE Coche
Jun 30, 2016·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·Christopher A RajkumarChristopher A Rinaldi
Aug 23, 2016·Echocardiography·Neeraj JainEdmund K Kerut
May 4, 2017·Journal of Echocardiography·Reinier P J BoxmaMohamed Boulaksil

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Citations

Aug 14, 2019·Journal of Cardiovascular Electrophysiology·Dariusz ZajacMariusz Pytkowski
Feb 27, 2021·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·Roberto F E PedrettiDominique Hansen
Apr 1, 2021·Pacing and Clinical Electrophysiology : PACE·Prerana BhatiaUlrika Birgersdotter-Green
May 14, 2021·BMJ Case Reports·Emna AlloucheLeila Bezdah

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