Percutaneous management of atrium and lung perforation: A case report

Figures

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  Figure 1. Posteroanterior chest X-ray shows the tip of the atrial lead located outside the cardiac shadow.

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  Figure 2. The chest computed tomography shows the atrial lead tip migrating into the lung tissue with signs of local inflammation.

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  Figure 3. After percutaneous subxiphoid pericardial puncture, a soft floppy-tipped guidewire was advanced along the lateral heart border in the left anterior oblique projection.

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  Figure 4. A new active fixation atrial lead was implanted at a different site with less tension, prior to removal of the culprit lead.

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  Figure 5. The culprit atrial lead was removed with simple traction after the active screw was retracted.