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A guide to difficult right ventricular pacemaker lead insertion
  1. R De Palma,
  2. R A Archbold
  1. andrew.archbold@bartsandthelondon.nhs.uk

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A 90-year-old woman was admitted for insertion of a replacement right ventricular pacemaker lead and VVIR generator after system failure caused by a lead fracture. After explantation of the generator, a 9 French sheath was introduced into the left subclavian vein by the Seldinger technique. A ventricular pacing …

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