Radiography of Implantable Arrhythmia Management Devices

  • David L. Hayes

Radiographic evaluation is often helpful after placement of pacemakers, implantable cardioverter-defibrillators (ICDs), and devices for cardiac resynchronization therapy (CRT). Important information may be missed if the chest radiograph is reviewed in a cursory fashion for adequacy of lead placement and for a pneumothorax following venous puncture for lead placement. Radiographic inspection of an implantable cardiac device system, whether pacemaker, ICD, or CRT device, should be performed in an organized manner (Table 18.1). Without an orderly approach, essential information may be overlooked. Posteroanterior (PA) and lateral chest radiographs from any patient with a permanent pacemaker or ICD should be obtained and reviewed by the implanting physician or follow-up team. Oblique views do not commonly provide a great deal of additional data for most pacemakers and ICDs but may be helpful for better assessment of left ventricular lead placement in some patients with CRT devices.


Chest Radiograph Cardiac Resynchronization Therapy Coronary Sinus Ventricular Lead Atrial Lead 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Hayes DL. Pacemaker radiography. In: Furman S, Hayes DL, Holmes DR Jr., editors. A practice of cardiac pacing, second edition. Mount Kisco (NY): Futura Publishing, 1989:323–68.Google Scholar
  2. 2.
    Condon B, Hadley D. Cardiac pacing systems and implantable cardiac defibrillators (ICDs): a radiological perspective of equipment, anatomy and complications. Clin Radiol 2004;59:1145.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • David L. Hayes
    • 1
  1. 1.Division of Cardiovascular DiseasesMayo Clinic College of MedicineRochesterUSA

Personalised recommendations