Population
4 patients in whom the transvenous pacing lead was inadvertently placed through the interatrial septum and…
Design
Case_series
Follow-up
mean of 2 years (delay in diagnosis) and long-term follow-up
Authors
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May signal inadvertent LV lead placement with thromboembolic risk; leaves open anticoagulation need in case reports.
Inadvertent left ventricular placement of pacing leads can be identified by a right bundle branch block pattern on ECG and confirmed by echocardiography, with a potential risk of stroke warranting consideration of anticoagulation.
Ghani et al. (1993) studied this question.
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