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How to Prevent Recurrence of Idiopathic Lead Migration: A Case Report and Discussion of Management
Shogo Sakamoto1, Kenji Baba1, Moritoshi Irishio1
1Department of Cardiovascular Medicine Bell Land General Hospital Osaka Japan.
Abstract:
Reverse ratchet syndrome is an extremely rare form of idiopathic lead migration. Firm fixation of the lead sleeve to the fascia is crucial to prevent recurrence; however, even with reinforced fixation, muscle motion or intrinsic sleeve design may limit the ability to prevent idiopathic lead migration.
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