Telectronics 330-801 Atrial Lead Extraction via the Subclavian Approach

Telfer, E. Andrew; Olshansky, Brian; Cadman, Christopher S.; Prater, Stephen; Lanzarotti, Charles; Miles, Ronald H.; Blakeman, Bradford

doi:10.1016/s0003-4975(97)00345-7

Cited by 5 publications

(2 citation statements)

References 15 publications

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“…These general observations are in accordance with previous reports. [1][2][3] The complications require special comment. In the two most serious complications, namely laceration of the atrium in one case, and the junction of the atrium and superior vena cava in an-other, were not anticipated.…”

Section: Discussionmentioning

confidence: 99%

Laser Extraction of Entrapped Leads

Parsonnet

Roelke

Trivedi

et al. 2001

Pacing Clinical Electrophis

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Removing entrapped pacing and defibrillator leads has been greatly simplified by making use of the excimer laser extractor. Sixty-two leads were successfully removed, although where appropriate, portions of the lead remained in place in 10 cases. There were two serious complications, one tear of the superior vena cava during an ICD extraction and one tear of the atrium during an atrial lead extraction. Both were controlled successfully through emergency sternotomy. Although extracting entrapped leads has been much simplified by making use of the laser extractor, the process is not free of serious complications. Those involved in explanting leads should be aware of the outcomes and be prepared for emergent management.

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Section: Discussionmentioning

confidence: 99%

Laser Extraction of Entrapped Leads

Parsonnet

Roelke

Trivedi

et al. 2001

Pacing Clinical Electrophis

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“…3 According to one estimate, approximately 42 000 patients were implanted with the Accufix lead worldwide. 4 It has been considered that the fracture of the J retention wire in the Extraction of Class III lead is not actively recommended because the incidence of mechanical complications due to fracture of the J retention wire is considered to be lower than that of fatal complications associated with lead removal. 1 The surgical removal of the lead is required in Class IV.…”

Section: Discussionmentioning

confidence: 99%

Cardiac perforation due to a fracture of a recalled Accufix bipolar active fixation pacing lead 29 years after implantation: A case report

Kimura

Kitamura

Tokioka

et al. 2021

Cardiovasc electrophysiol

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The Accufix bipolar active fixation atrial pacing lead Telectronics) can have mechanical complications due to a fracture of its J retention wire. An 80-year-old man had the Accufix atrial pacing lead implanted 29 years prior, and surgical removal was required because a part of the lead was perforating the apex of the right ventricle. Regular follow-up examinations are recommended to eliminate the possibility of protrusion and detachment of the J retention wire, even if the clinical course after implantation is stable for a prolonged period.

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