RT Journal Article SR Electronic T1 Detecting and managing device leads inadvertently placed in the left ventricle JF Cleveland Clinic Journal of Medicine JO Cleve Clin J Med FD Cleveland Clinic SP 69 OP 75 DO 10.3949/ccjm.85a.17012 VO 85 IS 1 A1 Richard G. Trohman A1 Parikshit S. Sharma YR 2018 UL http://www.ccjm.org/content/85/1/69.abstract 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.