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Spontaneous Versus Extraction Related Injuries Associated With Accufix J‐wire Atrial Pacemaker Lead: Tracking Changes in Patient Management
Author(s) -
KAWANISHI DAVID T.,
BRINKER JEFFREY A.,
REEVES RUSSELL,
KAY G. NEAL,
GROSS JAY,
PIOGER GUY,
PETITOT JEANCLAUDE,
ESLER ANNE,
GRUNKEMEIER GARY
Publication year - 1998
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.1540-8159.1998.tb01173.x
Subject(s) - medicine , lead (geology) , implant , thoracotomy , population , prospective cohort study , surgery , cardiology , environmental health , geomorphology , geology
To make recommendations for management of potentially fatal failure of the Accufix series of atrial J‐wire permanent pacemaker leads, we closely monitored the number of injuries and fatalities resulting either from spontaneous fracture of the J‐wire or from attempts to extract the lead. In a population of 30,357 patients, 2,298 patients are enrolled in a prospective follow‐up Multicenter Study, the remainder are patients with known clinical status from voluntary reporting, and 2,992 patients died following implant. In the remaining 27,365 patients, 6 deaths have been attributed to J‐wire related injury (J‐inj) while 13 were complications (E‐inj) associated with 4,076 lead extraction procedures (3,974 intravascular (intra)/ 102 primary thoracotomy (PT). The date of occurrences were from 1994 to November 1997. Conclusions: (1) Since lead extractions were not conducted in a controlled study, it is not known whether the deaths associated with lead extraction is in excess of what would have occurred if these leads had not been removed in this specific subset.