Key result
A fractured Telectronics Atrial Accufix 330-801 lead fragment that perforated the bronchus was successfully located by CT and fluoroscopy and removed without complication via rigid bronchoscopy.
Case Report (n=1)
Rigid bronchoscopy can be used to safely remove a fractured atrial pacing lead fragment that has perforated the bronchus.
May support rigid bronchoscopy for retrieving bronchus-perforating atrial lead fragments; single case leaves open generalizability.
A fragment of a fractured Telectronics Atrial Accufix 330-801 lead asymptomatically perforated the adjacent bronchus and was detected on routine chest X-ray. The metallic fragment was located by chest CT scan and bronchial fluoroscopy to lie between the right lobar bronchus and the pulmonary artery, confirming bronchial perforation. The foreign body was removed without complication by direct visualisation with rigid bronchoscopy.
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Tatou et al. (1999) conducted a case report in Fractured atrial pacing catheter lead with bronchial perforation (n=1). Rigid bronchoscopy for extraction was evaluated on Removal of the foreign body. A fractured Telectronics Atrial Accufix 330-801 lead fragment that perforated the bronchus was successfully located by CT and fluoroscopy and removed without complication via rigid bronchoscopy.
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