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Europace 2009 11(2):252-254; doi:10.1093/europace/eun381
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

SHORT COMMUNICATIONS

Perforation of right ventricular free wall by pacemaker lead detected by multidetector computed tomography

Arash Yavari*, Zeeshan O. Khawaja, Sanjay Krishnamoorthy and Eric T. McWilliams

Conquest Heart Centre, Conquest Hospital, The Ridge, St Leonards-on-sea, East Sussex TN37 7RD, UK

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.

* Corresponding author. Tel: +44 01424 755 255, Fax: +44 01424 758 132, Email: yavari_a{at}hotmail.com

Manuscript submitted 8 September 2008. Accepted after revision 11 December 2008.


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