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Lead Explantation Late After Atrial Perforation
Author(s) -
TRIGANO ALEXANDRE J.,
CAUS THIERRY
Publication year - 1996
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.1540-8159.1996.tb04200.x
Subject(s) - medicine , fluoroscopy , perforation , complication , lead (geology) , surgery , penetration (warfare) , cardiology , materials science , punching , geomorphology , metallurgy , geology , operations research , engineering
This report describes the case of a patient in whom atrial perforation with penetration of the thoracic wall was diagnosed 2 years after the implantation of an Accufix lead. Despite this complication, atrial detection in the bipolar mode and ventricular pacing were normal. Digital fluoroscopy detected a fracture with extrusion of a short segment of the retention wire. The rupture of the retention wire might have been the result, but was not the cause of the perforation.