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Percutaneous Extraction of Telctronics Accufix Atrial Lead with Protruded Retention Wire Haruhiko Take 1 , Yuka Sugimoto 1 , Yasurou Ohtsuka 1 , Yoshihiro Saburi 1 , Kenichirou Matsubara 1 , Kazuki Hattori 1 , Hideto Tsukamoto 1 , Kenzou Yasuura 2 1Department of Cardiology, Toki General Hospital 2Department of Cardiovascular Surgery, University of Nagoya Keyword: Accufix 330-801 , 内蔵ワイアー突出例 , 経皮的リード抜去 , percutaneous extraction , retention wire pp.921-925
Published Date 1997/9/15
DOI https://doi.org/10.11477/mf.1404901559
  • Abstract
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We report a case with successful extraction of a Telectronics Accufix atrial lead protruding retention wire, using a femoral approach.

A 63 year-old-male diagnosed as having sick sinus syndrome required the implantation of a pacemaker (generator; Softop 1250, atrial lead; Accufix 330-801, ventricular lead; 330-258) in our instiute on February 13, 1991. Although he was asymptomatic, cinefluoro-scopy revealed a protruding “J” wire on May 16, 1996. He was readmitted to our hospital for the purpose of percutaneous removal of the atrial lead. Under general anesthesia this procedure was carried out, using a right femoral approach, at our catheterization laboratory on May 21. After the exposure of the generator and both leads, a 27 Fr PCPS cannula was inserted surgically from the right femoral vein until it reached the level of the inferior vena cava. Crossing the atrial lead by a guide wire (“Terumo Radifocus” 0.032inch, 3m, J type), both sides of the guide wire were conducted ex-corpor-ally by a basket snare (Cook, 5F). As soon as the looped guide wire locked onto the atrial lead using an 8Fr Judkins right (3.5cm) catheter through the cannula, its screw was detached. After the atrial lead was pulled back into the PCPS cannula, the atrial lead and the PCPS cannula were withdrawn simultaneously. Post-procedural echocardiography revealed no pericardial effusion. 2 weeks later, reimplantation of the DDDR was carried out uneventfully through a left subclavicular approach.


Copyright © 1997, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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