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(a) Right ventricle (RV) active fixation lead with a large loop in the right atrium positioned at RV apex (downward facing arrow) and right atrium (RA) active fixation lead positioned at RA appendage (rightward facing arrow) (b) Left anterior oblique projection showing the leads in the coronary sinus (rightward facing arrow) posterior to the spine. (c) RV oblique projection showing the lead in RV apex (downward facing arrow) and RA appendage (upward facing arrow)
