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Pacemaker lead perforation is a recognized complication of lead implantation, particularly with active fixation leads. Multidetector computed tomography (MDCT) is emerging as the imaging modality of choice in diagnosing lead perforation, identifying associated sequelae such as pericardial effusion and planning extraction. We present a case illustrating the use of MDCT in a case of right ventricular (RV) lead perforation manifesting 5 days after cardiac resynchronization therapy pacing.

Original publication

DOI

10.1093/europace/eun381

Type

Journal article

Journal

Europace

Publication Date

02/2009

Volume

11

Pages

252 - 254

Keywords

Aged, Electrocardiography, Heart Ventricles, Humans, Male, Pacemaker, Artificial, Stroke Volume, Tomography, X-Ray Computed, Ventricular Dysfunction, Right