Why the study?
Does computed tomography improve the diagnosis of pacemaker lead perforation compared to routine radiologic assessment in suspected cases?
Does computed tomography improve the diagnosis of pacemaker lead perforation compared to routine radiologic assessment in suspected cases?
Computed tomography is recommended for diagnosing pacemaker lead perforation when clinically suspected but unconfirmed by conventional radiography.
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CT may detect pacemaker lead perforation missed on routine imaging; leaves open need for prospective validation before broader adoption.
We report a case of perforation of the right atrium by a transvenous right atrial appendage pacemaker lead diagnosed by CT. Routine radiologic assessment was unable to demonstrate the perforation. Computed tomography is recommended in cases where pacemaker perforation is clinically suspected but not confirmed by conventional radiographic means.
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Sussman et al. (1986) studied this question.
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