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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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