Is it necessary to check a lateral image if the physician parks the leads perfectly midline?

Verifying lead placement through a lateral image is critical, even if the physician positions the leads midline. This step ensures that not only the anterior-posterior alignment is correct, but also that the leads are properly located in relation to the structures behind them. Lead placement that appears midline on a frontal view might actually be incorrect if the posterior placement is not accurately assessed.

Taking a lateral image allows the physician to confirm that the leads are adequately positioned in terms of depth and location within the thoracic cavity, which is particularly important for avoiding complications and ensuring optimal therapeutic outcomes. This practice is a standard part of verifying proper lead positioning, which can directly impact the effectiveness of the treatment being administered. Checking the lateral view is a precautionary measure that supports the accuracy of the lead placement procedure.