RV Lead Perforation
Has anyone been diagnosed wtih lead migration, lead perforation? I'm having issues with RV pacing/performance with my BS Accolade L301 (put in 2018, which replaced my first PM, a St. Jude, which was put in 2011), which uses my original St. Jude leads from 2011. Have always had issues with SOB with exercise and condition has worsened in past year (SOB with minimal exercise). Current EP has reviewed my case, trying to adjust PM settings to improve performance during aerobic activities, but so far, hasn't helped. He believes (but need imaging to comfirm) that my RV lead may have perforated chamber, causing less-than-optimum performance. I just had long conversation with BS rep (at manufacturer) and says I should definitely ask that EP find out exactly where my lead is, and why lead repositioning hasn't been discussed. But, after 8 years, that may not be an option at this point! Any feedback would be greatly appreciated.