CTICasesIatrogenic pacemaker lead dislodgement
Imaging findings
Serial radiographs show migration of the right atrial lead, which initially pointed superiorly into the appendage but is now oriented inferiorly, occurring within a month of pacemaker placement.
Key takeaways
Pacemaker lead dislodgement typically occurs within the first few weeks after placement before endothelialization occurs. Lead migration can be detected by comparing lead orientation on serial chest radiographs.
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