Key result
Inadvertent atrial electrode placement causes epicardial ventricular pacing failure in a revised lead system.
Why the study?
Inadvertent atrial pacing due to epicardial electrode placement is an unusual finding that requires systematic analysis to avoid misplacement.
Population
A 70-year-old woman with epicardial pacing system after cardiac perforation from transvenous pacing
Comparison
Epicardial pacing system implantation and subsequent revision
Design
Case report
Authors
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Intraoperative lead verification may avert epicardial misplacement; this case leaves open its incidence and systematic prevention.
Case Report (n=1)
This case highlights the importance of systematic analysis of pacing system function at the time of implant to avoid inadvertent electrode placement.
Lok et al. (1981) conducted a case report in Pacing failure (n=1). Epicardial pacing system implantation was evaluated on Inadvertent atrial location of epicardial pacemaker electrode. Revision of an epicardial pacing system for pacing failure in a 70-year-old woman revealed inadvertent placement of a bipolar epicardial electrode on atrial tissue.
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