Related Experiment Videos
Teletronics 330-801 atrial lead extraction via the subclavian approach
E A Telfer1, B Olshansky, C Cadman
1Department of Medicine, Loyola University of Chicago Medical Center, Maywood, Illinois 60153, USA.
The Annals of Thoracic Surgery
|July 1, 1997
Summary
The subclavian approach successfully extracted Telectronics 801 atrial J leads in 96% of patients. This method demonstrated acceptable morbidity and low mortality, offering excellent long-term results for lead removal.
Area of Science:
- Cardiology
- Medical Device Engineering
Background:
- The Telectronics 330-801 atrial J (801) lead was recalled due to lead fracture and wire protrusion, linked to patient mortality and morbidity.
- Concerns exist regarding significant morbidity and potential excess mortality associated with 801 lead extraction.
Purpose of the Study:
- To evaluate the efficacy and safety of the subclavian approach for Telectronics 801 lead extraction.
- To determine the success rate and complication profile of this extraction method.
Main Methods:
- A retrospective analysis of clinical outcomes was performed for 60 consecutive patients undergoing 801 lead extraction.
- The subclavian approach was utilized for all lead extractions.
Main Results:
- The subclavian approach achieved a 96% success rate (58 out of 60 patients).
- Complications occurred in 16% of patients (10 out of 60), with three major and eight minor events, all successfully managed.
- No deaths were reported; concurrent ventricular lead extraction was the only factor associated with complications (p = 0.008).
Conclusions:
- Telectronics 801 leads can be effectively extracted using the subclavian approach.
- This method offers acceptable short-term morbidity, low mortality, and excellent long-term outcomes.