Dislodged Pacemaker Lead
Imaging findings
An atrial lead that has migrated from the right atrial appendage to a lower position in the right atrium immediately post-procedure.
Key takeaways
Immediate post-procedural chest radiographs are critical, as leads can dislodge even if they tested perfectly in the cath lab. Identifying the specific target anatomy (e.g., atrial appendage) is necessary for verifying correct lead placement.
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