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(Circulation. 1997;95:2587.)
© 1997 American Heart Association, Inc.

Articles

Extraction of an Accufix Atrial J-Shaped Support Wire

C. Jessurun, MD; C. Sung, MD; A. Massumi, MD

From St Luke’s Medical Towers, Houston, Tex.

Correspondence to Ali Massumi, MD, St Luke’s Medical Towers, 6624 Fannin, Suite 2480, Houston, TX 77030.

An extract of the first 100% of the full text is provided, because this article has no abstract.

A voluntary recall of the Teletronics Accufix models 330-801 and 329-701 J-shaped atrial pacemaker leads was issued November 3, 1994, as a result of several reports of fracture and extrusion of the J-shaped retention wire from the insulating sheath in these models.

A 70-year-old woman presented with a 7-year-old Teletronics Accufix 330-801 atrial lead that demonstrated intermittent lead failure. Fluoroscopy revealed that the J-shaped support wire of the lead had fractured and migrated from the insulating sheath (panel A). Since this type of wire (panel B) has been reported to cause laceration of the atrium and vascular structures, it had to be removed. The extruded retention wire was successfully snared with a 15-mm Micro-Snare (panel C) and removed percutaneously through a femoral SRO Daig sheath.

View larger version (212K): [in this window] [in a new window]   Figure 1.

The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, MD, Chief, Department of Pathology, St Luke’s Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.

Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke’s Episcopal Hospital and Texas Heart Institute, 6720 Bertner Ave, MC 4-265, Houston, TX 77030.

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