Pacemaker Lead Perforation
Cite this case
[...]. Pacemaker Lead Perforation. CTICases. Published July 17, 2025. https://str-case-explorer.pages.dev/c/cnhne
Imaging findings
Right ventricular pacemaker lead migrating outside the heart, resulting in intercostal muscle pacing.
Key takeaways
Always evaluate lead positioning on follow-up radiographs if the patient presents with chest pain; perforation can lead to hemopericardium or diaphragmatic/intercostal pacing.
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