ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Dilip Oswal
Javed Hayat
Philip H. Kay
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Oswal, D.
Right arrow Articles by Kay, P. H.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Oswal, D.
Right arrow Articles by Kay, P. H.

Ann Thorac Surg 1998;65:1192
© 1998 The Society of Thoracic Surgeons

Correspondence

Surgical Removal of Teletronics Pacing Wire From the Right Pulmonary Artery

Dilip Oswal, MDa, Javed Hayat, FRCSa, Philip H. Kay, MDa

a Department of Cardiothoracic Surgery, Yorkshire Heart Centre, Leeds General Infirmary, Great George St, Leeds, LS1 3EX, UK, Great Britain, United Kingdom

To the Editor

We read with interest the article by Telfer and colleagues [1] about the subclavian approach for extraction of Teletronics 330-801 atrial pacing leads. We would like to share our experience with an unusual complication of Teletronics pacing leads.

A 27-year-old man had received a Teletronics Accufix atrial J lead in 1992. He had required pacing for Wolff-Parkinson-White syndrome with symptomatic bradycardia. In response to a manufacturer’s advisory notice he underwent fluoroscopic examination in May 1995. This revealed fracture of the retention wire with migration of the fractured segment away from the lead. A chest radiograph suggested that the fractured lead was in the right pulmonary artery.

The patient was admitted for elective removal of the pacing system and the migrated retention wire. The chest was opened through a median sternotomy approach, and full cardiopulmonary bypass was established with separate caval cannulation. The right atrium was opened at normothermia with a beating heart. Atrial and ventricular leads were removed, including a separate fragment of the atrial retention wire surrounded by a thrombus. The right pulmonary artery was opened between the aorta and the superior vena cava. The embolized retention wire was removed from the distal right pulmonary artery using Desjardin’s forceps. The remainder of the pacing system was explanted uneventfully.

The subclavian approach is the preferred technique for removal of these pacing leads. However, once the lead has fractured and embolized distally, cardiopulmonary bypass will be required.

References

  1. Telfer E.A., Olshansky B., Cadman C., et al. Teletronics 330-801 atrial lead extraction via the subclavian approach. Ann Thorac Surg 1997;64:175-180.[Abstract/Free Full Text]




This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Dilip Oswal
Javed Hayat
Philip H. Kay
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Oswal, D.
Right arrow Articles by Kay, P. H.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Oswal, D.
Right arrow Articles by Kay, P. H.

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS