{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T08:07:49Z","timestamp":1753862869638,"version":"3.41.2"},"reference-count":14,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T00:00:00Z","timestamp":1686787200000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec><jats:title>Key Clinical Message<\/jats:title><jats:p>Nonspecific symptoms such as pleuritic or pericardial chest pain in cardiovascular implantable electronic devices patients, even with unremarkable ECG or device parameters, should always raise suspicion of electrode perforation, regardless of how long ago the implantation was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>We report the successful percutaneous management of a 77\u2010year\u2010old woman who had a dual\u2010chamber pacemaker implanted more than 1\u2009year ago and presented with pericarditis pain and compensated pericardial hemorrhagic tamponade. The symptoms were due to very late acute perforation of the atrial lead. This report is intended to raise awareness of procedure\u2010related complications in the large group of cardiovascular implantable electronic device patients. Pleuritic or pericardial pain in these patients should raise suspicion of electrode perforation, as the risk of perforation is not restricted to the period immediately after implantation and a lifelong risk cannot apparently be excluded.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.7525","type":"journal-article","created":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T11:00:51Z","timestamp":1686826851000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Delayed perforation of an atrial pacemaker electrode: Lifelong risk for a rare but serious complication"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1558-0696","authenticated-orcid":false,"given":"Christian","family":"Waechter","sequence":"first","affiliation":[{"name":"Department of Cardiology, University Hospital Marburg Philipps University Marburg  Marburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander M.","family":"Koenig","sequence":"additional","affiliation":[{"name":"Clinic of Diagnostic and Interventional Radiology, University Hospital Marburg Philipps University Marburg  Marburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgios","family":"Chatzis","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University Hospital Marburg Philipps University Marburg  Marburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian","family":"Mueller","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University Hospital Marburg Philipps University Marburg  Marburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernhard","family":"Schieffer","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University Hospital Marburg Philipps University Marburg  Marburg 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