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Brachiocephalic vein perforation on three-dimensional computed tomography.

There have been many reports concerning difficulties with pacemaker (PM) leads. We have recorded brachiocephalic vein [(BCV) or innominate vein] perforation by a PM lead in a 78-year-old man using three-dimensional computed tomography (3DCT). The patient received a dual chamber PM system implantation in another hospital because of atrioventricular conduction block with mild sinus node dysfunction. His post-operative general condition was quite good and he did not have any complaints. …