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Traumatic Fracture of Pacemaker Lead by Suture Transfixation to Pectoral Muscle
Raghav Bansal1, Viveka Kumar, K K Talwar
1Max Super Specialty Hospital Saket, Press Enclave Road, Mandir Marg, Saket, New Delhi, Delhi 110017, India. raghav.mamc@gmail.com.
Pacemaker lead fracture can occur during implantation if the lead is sutured without its protective sleeve. Tying sutures tightly, but not excessively, can help prevent this acute complication.
Area of Science:
- Cardiovascular medicine
- Medical device technology
- Surgical procedures
Background:
- Pacemaker implantation is a common procedure for managing cardiac arrhythmias.
- Lead integrity is crucial for device function and patient safety.
- Potential complications during implantation require careful procedural consideration.
Observation:
- Acute lead fracture was observed during a pacemaker implantation procedure.
- The fracture occurred during the suturing of the pacemaker lead.
- Suturing the lead without its protective sleeve was identified as a potential cause.
Findings:
- Suturing the pacemaker lead without the protective sleeve can lead to acute lead fracture.
- Mechanical stress from sutures can damage the lead conductor or insulation.
- Improper suturing technique poses a risk of lead damage.
Implications:
- Procedural modifications are necessary to prevent lead damage during pacemaker implantation.
- Ensuring the protective sleeve is in place during suturing is critical.
- Recommendations for suture technique, including appropriate tension, are essential for maintaining lead integrity.
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