PT - JOURNAL ARTICLE AU - Richard G. Trohman AU - Parikshit S. Sharma TI - Detecting and managing device leads inadvertently placed in the left ventricle AID - 10.3949/ccjm.85a.17012 DP - 2018 Jan 01 TA - Cleveland Clinic Journal of Medicine PG - 69--75 VI - 85 IP - 1 4099 - http://www.ccjm.org/content/85/1/69.short 4100 - http://www.ccjm.org/content/85/1/69.full SO - Cleve Clin J Med2018 Jan 01; 85 AB - Inadvertent malpositioning of a cardiac implantable electronic device lead into the left ventricle is a rare complication of transvenous pacing and defibrillation. Rapid identification of lead position is critical during implantation and just after the procedure, with immediate correction required if malpositioning is detected. If lead misplacement is discovered late after implantation, the lead should be surgically removed or chronic anticoagulation with warfarin should be instituted.