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Volume 346:2010 June 20, 2002 Number 25
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Malposition of a Pacemaker Lead

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 by Firschke, C.
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To the Editor: Firschke and Zrenner (Feb. 7 issue)1 describe a case of inadvertent malposition of a right ventricular pacing lead in the left ventricle. The patient was taking aspirin for coronary artery disease. Surprisingly, the authors state, "No action was taken, since there had been no complications during the previous four years and the pacemaker and lead functions were normal." Patients with left ventricular leads are at significant risk for systemic embolization from thrombus formation on the lead, even when they are receiving antiplatelet therapy.2 Therefore, if timely removal of a malpositioned lead in the left ventricle is not . . . [Full Text of this Article]

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