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  • Title: Inadvertent transarterial pacemaker lead placement.
    Author: Bajaj RR, Fam N, Singh SM.
    Journal: Indian Heart J; 2015; 67(5):452-4. PubMed ID: 26432733.
    Abstract:
    We present a case of a 73-year-old patient with acute left-sided hemiparesis four months after right ventricular pacemaker insertion. Post-procedural electrocardiogram revealed a paced RBBB complex and an abnormal lead path on chest X-ray. Subsequent echocardiography and computed tomography showed left ventricular pacemaker malposition with retrograde passage to the punctured subclavian artery. We also discuss the utility of routine cardiac investigations post-insertion to identify signal lead malposition as well as management strategies once identified.
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