Table 2.
Case No. | Age | Gender | Diagnosis | Complication | Abnormal pacing parameters | Treatment and outcome |
---|---|---|---|---|---|---|
1 | 78 | Male | Sick sinus syndrome with paroxysmal atrial fibrillation | Septum perforation at 1-month follow-up | Threshold: >5.0 V/0.5 ms (unipolar) 2.5 V/0.5 ms (bipolar) Impedance: <300 Ω (unipolar) |
The lead was repositioned to a more distal LBB area at posterior septum |
2 | 76 | Female | Atrial fibrillation with low ventricular rate | Septum perforation at the second day post-procedure | loss of capture at the high output (>7.5 V/0.5 ms) | A new lead (Model 5076) was implanted and replaced at RV apex |
3 | 77 | Female | Complete AVB | Lead dislodgement | loss of capture at the high output (>7.5 V/0.5 ms) | The lead was replaced to another LBB region with proper slack |
4 | 64 | Male | Complete AVB and atrial fibrillation | Lead dislodgement at 1-month follow-up and the lead dislodgement occurred again at 5-month after reposition. | loss of capture at the high output (>7.5 V/0.5 ms) | The lead was replaced to another LBB region but dislodged again Finally another lead (Model 5076) was repositioned at RV septum |