Migration and right atrial perforation of an Accufix atrial lead retention wire following partial lead removal during myomectomy.

Abstract:

:A 36-year-old man with a history of hypertrophic obstructive cardiomyopathy presented to the emergency room with "stabbing" chest pain. He had undergone dual-chamber pacemaker implantation in 1993 using an atrial lead (Accufix; Telectronics; Englewood, Colo) and a myomectomy in 1996 during which the distal portion of the atrial lead was removed. Digital fluoroscopy revealed that the retention wire had migrated out of the remaining atrial lead and perforated the right atrium. The retention wire was successfully removed percutaneously. The need for complete removal of the retention wire in the Accufix lead at the time of open-heart surgery is emphasized.

journal_name

Chest

journal_title

Chest

authors

Gerstenfeld EP,Balarajan Y,Cooke R,Mittleman RS

doi

10.1378/chest.114.2.637

subject

Has Abstract

pub_date

1998-08-01 00:00:00

pages

637-9

issue

2

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)47756-6

journal_volume

114

pub_type

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