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. 2021 Mar 24;8:645947. doi: 10.3389/fcvm.2021.645947

Table 2.

Septum perforation and lead dislodgement cases.

Case No. Age Gender Diagnosis Complication Abnormal pacing parameters Treatment and outcome
1 78 Male Sick sinus syndrome with paroxysmal atrial fibrillation Septum perforation at 1-month follow-up Threshold: >5.0 V/0.5 ms (unipolar) 2.5 V/0.5 ms (bipolar)
Impedance: <300 Ω (unipolar)
The lead was repositioned to a more distal LBB area at posterior septum
2 76 Female Atrial fibrillation with low ventricular rate Septum perforation at the second day post-procedure loss of capture at the high output (>7.5 V/0.5 ms) A new lead (Model 5076) was implanted and replaced at RV apex
3 77 Female Complete AVB Lead dislodgement loss of capture at the high output (>7.5 V/0.5 ms) The lead was replaced to another LBB region with proper slack
4 64 Male Complete AVB and atrial fibrillation Lead dislodgement at 1-month follow-up and the lead dislodgement occurred again at 5-month after reposition. loss of capture at the high output (>7.5 V/0.5 ms) The lead was replaced to another LBB region but dislodged again
Finally another lead (Model 5076) was repositioned at RV septum