Injury to vascular structures is a well recognized complication during invasive cardiac procedures. We report 2 cases of right innominate vein perforation during the permanent pacemaker implantation. Early suspicion could be made by noting the restricted "linear" up and down movement of the lead along the right cardiac silhouette under fluoroscopy. Confirmation could then be made by making a LAO 40° view with contrast venography. Using long sheath and early guiding venogram could reduce the complication of perforation.
Siu-Hong Wan, Ping-Wah Yam, Wing- Shun Chau, Perforation of the Right Innominate Vein by Pacemaker Lead During Implantation: A Report of 2 Cases Journal of the Hong Kong College of Cardiology 2007;15(2) https://doi.org/10.55503/2790-6744.1102