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Self‐Entwinement of an Active Fixation Pacemaker Electrode
Author(s) -
STOUGHTON THOMAS L.,
MARTYAK THOMAS E.,
GOMEZ ALPHONSE C.,
PEARL WILLIAM
Publication year - 1990
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1990.tb02152.x
Subject(s) - medicine , lead (geology) , fixation (population genetics) , femoral vein , surgery , cardiology , population , environmental health , geomorphology , geology
We report a case in which an active fixation atrial lead tip became entwined on the proximal lead body during implantation. It was not possible to disengage the tip or to remove the resultant Jead loop atraumatically through the insertion site. Removal of the lead was accomplished using a Dotter intravascular snare inserted via a femoral vein, with subsequent successful implantation of a new lead. This unusual technique‐related complication emphasizes the need for meticulous fluoroscopic visualization during lead manipulation.