*Corresponding author:
Feng Xiong PhD, E-mail: xiongfeng202020@163.com
Address:No.82, Qinglong Street, Qingyang District, Chengdu, China, 610031
Declarations of interest: N/A
Funding: N/A
Ethics approval statement: N/A
Clinical trial registration: N/A
Patient consent statement: Available
Short title: A Moving Lead
Abstract: An 80-year-old female patient with a pacemaker was found massive pericardial effusion, and the sagittal image of CTA revealed the atrial lead tip extended slightly beyond the atrial wall. During operation, we found the criminal lead keep going in and out of the atrial wall and appearing as a dot when penetrated. This case gives us a lesson on diagnosis of lead perforation in patients with pacemakers.
Keywords: Perforation, Pacemaker, Pericardial effusion