{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:33:24Z","timestamp":1760146404488,"version":"build-2065373602"},"reference-count":5,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T00:00:00Z","timestamp":1730764800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Permanent pacemaker implantation is a low-risk procedure. However, complications may occur at a rate of around 4\u20138%. We present a case where initial implantation resulted in complications that could have been avoided by meticulous assessment of lead position in different projections and early post-procedure X-ray that would have delineated other serious complications. We present a case where the right ventricular lead was placed in the coronary sinus, which resulted in the loss of pacing capture with further syncope after the pacemaker implant. This was apparent in the post-procedure electrocardiogram (ECG) with right bundle branch pacing and the lead was repositioned in the right ventricular apex the following day. Furthermore, the patient was discharged home without a chest X-ray (CXR), and she represented a week later with a haemo-pneumothorax and pericardial effusion. A chest drain was placed and was discharged after a slow recovery following several complications that could have been avoidable.<\/jats:p>","DOI":"10.3390\/diagnostics14222465","type":"journal-article","created":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T05:30:53Z","timestamp":1730784653000},"page":"2465","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dual Chamber Pacemaker Implant in Coronary Sinus Leading to Several Complications"],"prefix":"10.3390","volume":"14","author":[{"given":"Nancy","family":"Wassef","sequence":"first","affiliation":[{"name":"Gloucestershire Hospitals Foundation Trust, Cheltenham General Hospital, Sandford Road, Cheltenham GL53 7AN, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mina","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Bristol Royal Infirmary, Upper Maudlin Street, Bristol BS2 8HW, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6289-7050","authenticated-orcid":false,"given":"Christine","family":"Botrous","sequence":"additional","affiliation":[{"name":"Gloucestershire Hospitals Foundation Trust, Cheltenham General Hospital, Sandford Road, Cheltenham GL53 7AN, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amr","family":"Anos","sequence":"additional","affiliation":[{"name":"Gloucestershire Hospitals Foundation Trust, Cheltenham General Hospital, Sandford Road, Cheltenham GL53 7AN, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Hogrefe","sequence":"additional","affiliation":[{"name":"Kettering General Hospitals, Rothwell Road, Kettering NN16 8UZ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janaka","family":"Pathiraja","sequence":"additional","affiliation":[{"name":"Gloucestershire Hospitals Foundation Trust, Cheltenham General Hospital, Sandford Road, Cheltenham GL53 7AN, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,11,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Carri\u00f3n-Camacho, M.R., Mar\u00edn-Le\u00f3n, I., Molina-Do\u00f1oro, J.M., and Gonz\u00e1lez-L\u00f3pez, J.R. (2019). Safety of Permanent Pacemaker Implantation: A Prospective Study. J. Clin. Med., 8.","DOI":"10.3390\/jcm8010035"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1136\/heartjnl-2013-305263","article-title":"A case of difficult RV lead placement","volume":"100","author":"Muthumala","year":"2013","journal-title":"Heart"},{"key":"ref_3","unstructured":"Hendel, R.C., and Kimmelstiel, C. (2013). Pacemaker Interrogation and Programming. Cardiology Procedures, Springer."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e006107","DOI":"10.1161\/CIRCEP.117.006107","article-title":"Individualized Left Anterior Oblique Projection. A Highly Reliable Patient-Tailored Fluoroscopy Criterion for Right Ventricular Lead Positioning","volume":"11","author":"Squara","year":"2018","journal-title":"Circ. Arrhythmia Electrophysiol."},{"key":"ref_5","first-page":"1730","article-title":"Chest radiographs of cardiac devices (Part 1): Cardiovascular implantable electronic devices, cardiac valve prostheses and Amplatzer occluder devices","volume":"23","author":"Mathew","year":"2019","journal-title":"SA J. Radiol."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/14\/22\/2465\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:26:20Z","timestamp":1760113580000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/14\/22\/2465"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,5]]},"references-count":5,"journal-issue":{"issue":"22","published-online":{"date-parts":[[2024,11]]}},"alternative-id":["diagnostics14222465"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics14222465","relation":{},"ISSN":["2075-4418"],"issn-type":[{"type":"electronic","value":"2075-4418"}],"subject":[],"published":{"date-parts":[[2024,11,5]]}}}