PMC7252885_01
Note the proper post-surgical positioning of the lead.
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The following morning, a repeat (posterior-anterior) PA chest X-ray showed the tip of the lead at roughly the seventh rib consistent with the fluoroscopic positioning from the prior day (Figure 1).
Chest X-ray showing lead migration with displacement of approximately 4.5 cm.
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A chest X-ray performed at this time showed that the lead had migrated from a purely vertical position to a hockey stick right contour with a displacement of approximately 4.5 cm with the tip overlying rib 9 (Figure 2).
Further regression of the lead to a more L-shaped configuration.
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Follow-up after an additional 2 months showed further regression of the lead with the lead tip sitting at approximately 6.5 cm below its original position with an increased L-shaped configuration of the high voltage coil (Figure 3).