Key result
Lifelong anticoagulation manages an LV pacemaker lead malpositioned via the carotid artery and aorta.
Case Report (n=1)
Highlights the rare complication of venoarterial malposition of a ventricular pacing lead and its management with lifelong anticoagulation when surgical removal is declined.
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Inadvertent LV lead placement requires multimodality imaging confirmation; leaves open optimal long-term management in asymptomatic patients.
Andrade et al. (2018) conducted a case report in Malposition of ventricular pacing lead (n=1). Ventricular pacing lead malposition was evaluated. A 70-year-old woman was found to have a ventricular pacemaker lead malpositioned in the left ventricle via the left common carotid artery and aorta, which was managed with lifelong anticoagulation.
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