Coronary sinus lead fragmentation 2 years after implantation with a retained guidewire.
Cardiac Resynchronization therapy (CRT) using coronary sinus (CS) leads is an established method for the therapy of congestive heart failure (CHF) in the case of inter- and intraventricular conduction delays. However implantation of CS leads is somewhat challenging due to a high number of peri- or postoperative dislocations at a rate of about 10%. The retained guidewire technique has been proposed for the implantation of coronary sinus leads for stabilization in case of repetitive intraoperative dislocations. This report describes CS lead and guidewire fracture 2 years after such an implant.
Nägele
Herbert
H
St. Adolfstift, Medical Clinic, Reinbek, Germany. naegele@uke.uni-hamburg.de
Hashagen
Sandra
S
Ergin
Mehmet
M
Azizi
Mojgan
M
Behrens
Stefan
S
D000368:Aged; D001281:Atrial Fibrillation / Q000517:prevention & control*; D003331:Coronary Vessels; D004567:Electrodes, Implanted / Q000009:adverse effects*; D004868:Equipment Failure; D005548:Foreign-Body Migration / Q000175:diagnosis* / Q000209:etiology* / Q000517:prevention & control; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*