Key result
A patient with a Telectronics Accufix atrial "J" lead experienced protrusion of a nonfractured retention wire, which was successfully extracted and replaced without adverse consequences.
Case Report (n=1)
Highlights a rare complication of the Telectronics Accufix atrial 'J' lead involving protrusion of a nonfractured retention wire, which was successfully managed with lead extraction.
Continued fluoroscopic surveillance of Accufix leads may be warranted; this case extends known complications but leaves incidence and management open.
The Telectronics Accufix atrial "J" lead has been associated with injury and death. These complications have occurred as the result of retention wire fracture, extrusion, and perforation of cardiac or vascular structures. This report describes a patient who was found to have protrusion of the proximal end of a nonfractured retention wire during fluoroscopic surveillance. The wire extrusion appeared to result from angulation of the lead. The lead was extracted and replaced without adverse consequences. Further prospective analysis will be needed to determine the clinical implications and approach to this complication.
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MERA et al. (1997) conducted a case report in Telectronics Accufix atrial "J" lead complication (n=1). Telectronics Accufix atrial "J" lead was evaluated on Protrusion of the proximal end of a nonfractured retention wire. A patient with a Telectronics Accufix atrial "J" lead experienced protrusion of a nonfractured retention wire, which was successfully extracted and replaced without adverse consequences.
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