Transvenous extraction of a 26-year-old Accufix atrial lead using TightRail rotating dilator sheath
| Title: | Transvenous extraction of a 26-year-old Accufix atrial lead using TightRail rotating dilator sheath |
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| Authors: | Anar Mammadli, Veysel Kutay Vurgun, Onur Yıldırım, Ali Timuçin Altın, Başar Candemir, Ömer Akyürek |
| Source: | Türk Kardiyoloji Derneği Arşivi, Vol 46, Iss 1, Pp 54-56 (2018) |
| Publisher Information: | KARE Publishing, 2018. |
| Publication Year: | 2018 |
| Collection: | LCC:Medicine LCC:Internal medicine LCC:Diseases of the circulatory (Cardiovascular) system |
| Subject Terms: | accufix atrial lead, lead extraction, pacemaker pocket infection., Medicine, Internal medicine, RC31-1245, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| More Details: | With the increasing number of implanted pacemakers and implantable cardioverter defibrillators, removal is required more frequently. Presently described is the transvenous extraction of a 26-year-old Accufix atrial lead using a mechanical dilator sheath. A 50-year-old male patient was admitted to the clinic with a pacemaker pocket infection. The atrial lead was an Accufix Bipolar J-Atrial active fixation lead, a model that was recalled in 1994, after reports of 2 deaths and 2 nonfatal injuries related to protrusion of the J retention wire. Both the atrial and ventricular leads were extracted using a mechanical dilator sheath. The Pacemaker Lead Extraction with the Excimer Sheath (PLEXES) Trial reported that of the 57 Accufix leads randomized to a non-laser approach, only 47% were removed successfully, compared with 96% of laser-randomized cases. Since laser sheaths are not available in Turkey, use of a mechanical dilator sheath was required. To our knowledge, this is the oldest Accufix lead extracted with a non-laser sheath. During the extraction of the ventricular lead, the tip of the lead broke off inside the right ventricle and the residual part was left inside the heart. During 3 months of follow-up, no signs of infection or any other undesirable events were encountered. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English Turkish |
| ISSN: | 1016-5169 |
| Relation: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-56239; https://doaj.org/toc/1016-5169 |
| DOI: | 10.5543/tkda.2017.56239 |
| Access URL: | https://doaj.org/article/17d10d5f379840b9b5b2a91a9d48d416 |
| Accession Number: | edsdoj.17d10d5f379840b9b5b2a91a9d48d416 |
| Database: | Directory of Open Access Journals |
| ISSN: | 10165169 |
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| DOI: | 10.5543/tkda.2017.56239 |
| Published in: | Türk Kardiyoloji Derneği Arşivi |
| Language: | English Turkish |