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Lead explantation late after atrial perforation
1Department of Cardiology, Centre Hospitalier Universitaire Nord, Marseille, France.
Pacing and Clinical Electrophysiology : PACE
|August 1, 1996
Summary
A fractured Accufix lead caused atrial perforation two years post-implantation. Despite this, cardiac device function remained normal, indicating potential for delayed complications.
Area of Science:
- Cardiology
- Medical Device Technology
- Cardiac Electrophysiology
Background:
- Implantation of cardiac pacing leads is a common procedure.
- Accufix leads are designed for secure atrial fixation.
- Long-term lead integrity is crucial for patient safety.
Observation:
- A patient presented with atrial perforation and thoracic wall penetration.
- The complication occurred two years after Accufix lead implantation.
- Digital fluoroscopy revealed a fractured retention wire with extrusion.
Findings:
- The Accufix lead retention wire fractured, leading to atrial perforation.
- Despite perforation, atrial detection and ventricular pacing functioned normally.
- The wire rupture was likely a consequence, not the primary cause, of perforation.
Implications:
- This case highlights the potential for delayed complications with certain lead designs.
- Routine monitoring and lead integrity assessment are essential.
- Further investigation into lead material fatigue and design may be warranted.