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Protrusion Without Fracture of the Accufix Atrial “J” Lead Retention Wire
Author(s) -
MERA FERNANDO,
WALTER PAUL,
LANGBERG JONATHAN
Publication year - 1997
Publication title -
journal of cardiovascular electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.193
H-Index - 138
eISSN - 1540-8167
pISSN - 1045-3873
DOI - 10.1111/j.1540-8167.1997.tb00630.x
Subject(s) - medicine , lead (geology) , complication , perforation , fracture (geology) , cardiology , prospective cohort study , surgery , metallurgy , materials science , geomorphology , punching , geology , geotechnical engineering , engineering
Retention Wire Fracture. The Telectronics Accufix atrial “J” lead has been associated with injury and death. These complications have occurred as the result of retention wire fracture, extrusion, und perforation of cardiac or vascular structures. This report describes a patient who was found to have protrusion of the proximal end of a nonfractured retention wire during: fluoroscopic surveillance. The wire extrusion appeared to result from angulation of the lead. The lead was extracted and replaced without adverse consequences. Further prospective analysis will be needed to determine the clinical implications and approach to this complication.