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Chronic ventricular lead perforation: Expect the unexpected.

Baldeep Singh SidhuRonak RajaniChristopher A Rinaldi
Published in: Clinical case reports (2019)
A high index of suspicion is needed to diagnose a chronic right ventricular lead perforation. They should be suspected in patients who develop breathlessness and have a sudden change in pacing parameters. Contrast-enhanced CT provides high diagnostic accuracy. They can often be extracted percutaneously and rarely require surgical intervention.
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