Percutaneous extraction of a fractured, exposed atrial "J" lead retention wire.
The recent identification of fracturing of the retention wire in the Telectronics atrial lead, models 329-701 and 330-801, and the report of death due to cardiac tamponade caused by aortic puncture resulting from protrusion of the retention wire, necessitates fluoroscopic screening of these patients and the explantation of all leads identified to have the component failure. We present in this paper a percutaneous alternative to lead explantation in patients with protrusion of the retention wire through the polyurethane insulation and with an otherwise properly functioning atrial lead.
Caudill
C C
CC
Department of Cardiology, Bryan Memorial Hospital, Lincoln, Nebraska 68506, USA.
Clinch
B
B
Krueger
S K
SK
Gard
J R
JR
Turk
K T
KT
Wilson
C S
CS
D004567:Electrodes, Implanted; D004867:Equipment Design; D004868:Equipment Failure; D005471:Fluoroscopy; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000628:therapy*; D006321:Heart; D006325:Heart Atria; D006335:Heart Injuries / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*