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Percutaneous closure of iatrogenic arteriovenous fistula after pacemaker implantation
  1. Praveen Kumar Gupta,
  2. Santhosh Satheesh,
  3. Raja J Selvaraj
  1. Department of Cardiology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
  1. Correspondence to Dr Raja J Selvaraj, Department of Cardiology, JIPMER, Pondicherry 605006, India; rajajs{at}

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A 76-year-old man presented with swelling of the left upper limb that started 1 year after pacemaker implantation. During the procedure, a single-pass VDD lead was introduced through an axillary vein puncture and was positioned in the right ventricular apex.

Pitting oedema of the left upper limb was seen, with reddish-brown skin pigmentation, scaling and thickening (figure 1A). Subclavian …

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