Percutaneous management of atrium and lung perforation: A case report

Figure 1 Posteroanterior chest X-ray shows the tip of the atrial lead located outside the cardiac shadow.

Figure 2 The chest computed tomography shows the atrial lead tip migrating into the lung tissue with signs of local inflammation.

Figure 3 After percutaneous subxiphoid pericardial puncture, a soft floppy-tipped guidewire was advanced along the lateral heart border in the left anterior oblique projection.

Figure 4 A new active fixation atrial lead was implanted at a different site with less tension, prior to removal of the culprit lead.

Figure 5 The culprit atrial lead was removed with simple traction after the active screw was retracted.