# Case Report: A case suffered acute cerebral infarction after removal of temporary cardiac pacing lead which led to the perforation of interventricular septum

## TL;DR

An elderly man suffered a stroke after a temporary heart pacing lead was removed, possibly due to complications from the procedure.

## Contribution

This case highlights a rare complication of temporary pacemaker lead removal leading to cerebral infarction.

## Key findings

- The patient developed acute cerebellar infarction after temporary pacemaker lead removal.
- The neurological symptoms occurred suddenly post-procedure.
- The case raises questions about the safety and adequacy of periprocedural care.

## Abstract

We report an elderly male patient with frequent episodes of dizziness due to a complete atrioventricular block who underwent temporary pacemaker insertion in a local hospital. After the implantation of a permanent pacemaker and removal of the temporary pacemaker lead, the patient developed sudden neurological symptoms, upon which an acute cerebellar infarction was diagnosed via head CT. We will discuss the adequacy of the periprocedural administration.