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Coronary Sinus Lead Dislocation

Imaging findings

Initial imaging showed correctly positioned pacemaker leads, including a coronary sinus lead. On follow-up, a noticeable difference in the angulation and position of the coronary sinus lead was observed, with proximal displacement.

Key takeaways

A subtle change in the angulation and proximal displacement of a coronary sinus pacemaker lead can indicate dislocation, leading to loss of lead capture and highlighting the importance of careful comparison with prior imaging.

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