Key result
Conservative management with anticoagulation can safely avoid high-risk extraction of a misplaced LV pacemaker lead.
Why the study?
Pacemaker lead misplacement is a rare but clinically significant complication of pacemaker implantation.
Population
A male patient in his 80s with a permanent pacemaker
Design
Case report
Authors
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May inform rare LV lead misplacement cases; leaves open need for prospective data before broader adoption.
Case Report (n=1)
This case highlights the importance of multimodal imaging in identifying pacemaker lead misplacement and the clinical implications of inadvertent LV pacing.
Admed et al. (2025) conducted a case report in Pacemaker lead misplacement (n=1). Conservative management with DOAC was evaluated. Conservative management with long-term anticoagulation was safely utilized in an elderly patient with an inadvertently misplaced pacemaker lead in the left ventricle, avoiding high-risk lead extraction.
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