Clinical and radiographic presentation of patients injured by j-wire fracture in certain telectronics atrial pacemaker leads: A potentially treatable cause of cardiovascular collapse

David T. Kawanishi, J. A. Brinker, C. J. Love, R. C. Reeves, A. Rozkovec, M. L. Mutter, G. Pioger, Jay N. Gross, F. J. Hildner, J. Westcott, M. Davis, J. C. Petitot, N. Goldschlager, J. Fee

Research output: Contribution to journalArticle

Abstract

Purpose: Identify the clinical and radiographic findings in patients injured by fracture of a J-shape retention wire in some Telectronics atrial permanent pacemaker leads. Methods: All reported injury due to fracture of a J-wire in the active fixation ("Accufix," mostly model 033-801) and passive fixation (mostly model 033-854) atrial leads were tabulated along with any chest x-ray or cinefluoroscopic (CXR/FL) visualization of protrusion (Prot) of the J-wire. Results: # pts (%) # pts (%) Lead model 033-801 033-854 FATAL Tamponade/shock 5 0 Prot on CXR/FL 3 (60) - NONFATAL Tamponade 14 1 Pericard Eff 5 1 Atrial Perf 2 0 Embolized Frag 4 0 Other 1a 4b Total 26 6 Prot on CXR/FL 24 (92) 6 (100) Pericard Eff=pericardial effusion; Perf.=perforation; Frag=fragment; a=right atrium-to-aorta fistula; b=chest pain. A protrusion was seen in all injured pts. who had a CXR/FL study done. Conclusions: 1. J-wire fracture with protrusion may cause cardiovascular collapse and death; 2. The protruding fracture may be visible on CXR/FL. Clinical Implications: Injury due to a protruding J-wire fracture should be considered in patients who have these atrial pacemaker leads and who present with chest pain, pericardial effusion, tamponade, or shock.

Original languageEnglish (US)
JournalChest
Volume110
Issue number4 SUPPL.
StatePublished - Oct 1996
Externally publishedYes

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Pericardial Effusion
Chest Pain
Shock
Cardiac Tamponade
Wounds and Injuries
Heart Atria
Fistula
Aorta
Thorax
X-Rays
Lead

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Kawanishi, D. T., Brinker, J. A., Love, C. J., Reeves, R. C., Rozkovec, A., Mutter, M. L., ... Fee, J. (1996). Clinical and radiographic presentation of patients injured by j-wire fracture in certain telectronics atrial pacemaker leads: A potentially treatable cause of cardiovascular collapse. Chest, 110(4 SUPPL.).

Clinical and radiographic presentation of patients injured by j-wire fracture in certain telectronics atrial pacemaker leads : A potentially treatable cause of cardiovascular collapse. / Kawanishi, David T.; Brinker, J. A.; Love, C. J.; Reeves, R. C.; Rozkovec, A.; Mutter, M. L.; Pioger, G.; Gross, Jay N.; Hildner, F. J.; Westcott, J.; Davis, M.; Petitot, J. C.; Goldschlager, N.; Fee, J.

In: Chest, Vol. 110, No. 4 SUPPL., 10.1996.

Research output: Contribution to journalArticle

Kawanishi, DT, Brinker, JA, Love, CJ, Reeves, RC, Rozkovec, A, Mutter, ML, Pioger, G, Gross, JN, Hildner, FJ, Westcott, J, Davis, M, Petitot, JC, Goldschlager, N & Fee, J 1996, 'Clinical and radiographic presentation of patients injured by j-wire fracture in certain telectronics atrial pacemaker leads: A potentially treatable cause of cardiovascular collapse', Chest, vol. 110, no. 4 SUPPL..
Kawanishi, David T. ; Brinker, J. A. ; Love, C. J. ; Reeves, R. C. ; Rozkovec, A. ; Mutter, M. L. ; Pioger, G. ; Gross, Jay N. ; Hildner, F. J. ; Westcott, J. ; Davis, M. ; Petitot, J. C. ; Goldschlager, N. ; Fee, J. / Clinical and radiographic presentation of patients injured by j-wire fracture in certain telectronics atrial pacemaker leads : A potentially treatable cause of cardiovascular collapse. In: Chest. 1996 ; Vol. 110, No. 4 SUPPL.
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abstract = "Purpose: Identify the clinical and radiographic findings in patients injured by fracture of a J-shape retention wire in some Telectronics atrial permanent pacemaker leads. Methods: All reported injury due to fracture of a J-wire in the active fixation ({"}Accufix,{"} mostly model 033-801) and passive fixation (mostly model 033-854) atrial leads were tabulated along with any chest x-ray or cinefluoroscopic (CXR/FL) visualization of protrusion (Prot) of the J-wire. Results: # pts ({\%}) # pts ({\%}) Lead model 033-801 033-854 FATAL Tamponade/shock 5 0 Prot on CXR/FL 3 (60) - NONFATAL Tamponade 14 1 Pericard Eff 5 1 Atrial Perf 2 0 Embolized Frag 4 0 Other 1a 4b Total 26 6 Prot on CXR/FL 24 (92) 6 (100) Pericard Eff=pericardial effusion; Perf.=perforation; Frag=fragment; a=right atrium-to-aorta fistula; b=chest pain. A protrusion was seen in all injured pts. who had a CXR/FL study done. Conclusions: 1. J-wire fracture with protrusion may cause cardiovascular collapse and death; 2. The protruding fracture may be visible on CXR/FL. Clinical Implications: Injury due to a protruding J-wire fracture should be considered in patients who have these atrial pacemaker leads and who present with chest pain, pericardial effusion, tamponade, or shock.",
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T1 - Clinical and radiographic presentation of patients injured by j-wire fracture in certain telectronics atrial pacemaker leads

T2 - A potentially treatable cause of cardiovascular collapse

AU - Kawanishi, David T.

AU - Brinker, J. A.

AU - Love, C. J.

AU - Reeves, R. C.

AU - Rozkovec, A.

AU - Mutter, M. L.

AU - Pioger, G.

AU - Gross, Jay N.

AU - Hildner, F. J.

AU - Westcott, J.

AU - Davis, M.

AU - Petitot, J. C.

AU - Goldschlager, N.

AU - Fee, J.

PY - 1996/10

Y1 - 1996/10

N2 - Purpose: Identify the clinical and radiographic findings in patients injured by fracture of a J-shape retention wire in some Telectronics atrial permanent pacemaker leads. Methods: All reported injury due to fracture of a J-wire in the active fixation ("Accufix," mostly model 033-801) and passive fixation (mostly model 033-854) atrial leads were tabulated along with any chest x-ray or cinefluoroscopic (CXR/FL) visualization of protrusion (Prot) of the J-wire. Results: # pts (%) # pts (%) Lead model 033-801 033-854 FATAL Tamponade/shock 5 0 Prot on CXR/FL 3 (60) - NONFATAL Tamponade 14 1 Pericard Eff 5 1 Atrial Perf 2 0 Embolized Frag 4 0 Other 1a 4b Total 26 6 Prot on CXR/FL 24 (92) 6 (100) Pericard Eff=pericardial effusion; Perf.=perforation; Frag=fragment; a=right atrium-to-aorta fistula; b=chest pain. A protrusion was seen in all injured pts. who had a CXR/FL study done. Conclusions: 1. J-wire fracture with protrusion may cause cardiovascular collapse and death; 2. The protruding fracture may be visible on CXR/FL. Clinical Implications: Injury due to a protruding J-wire fracture should be considered in patients who have these atrial pacemaker leads and who present with chest pain, pericardial effusion, tamponade, or shock.

AB - Purpose: Identify the clinical and radiographic findings in patients injured by fracture of a J-shape retention wire in some Telectronics atrial permanent pacemaker leads. Methods: All reported injury due to fracture of a J-wire in the active fixation ("Accufix," mostly model 033-801) and passive fixation (mostly model 033-854) atrial leads were tabulated along with any chest x-ray or cinefluoroscopic (CXR/FL) visualization of protrusion (Prot) of the J-wire. Results: # pts (%) # pts (%) Lead model 033-801 033-854 FATAL Tamponade/shock 5 0 Prot on CXR/FL 3 (60) - NONFATAL Tamponade 14 1 Pericard Eff 5 1 Atrial Perf 2 0 Embolized Frag 4 0 Other 1a 4b Total 26 6 Prot on CXR/FL 24 (92) 6 (100) Pericard Eff=pericardial effusion; Perf.=perforation; Frag=fragment; a=right atrium-to-aorta fistula; b=chest pain. A protrusion was seen in all injured pts. who had a CXR/FL study done. Conclusions: 1. J-wire fracture with protrusion may cause cardiovascular collapse and death; 2. The protruding fracture may be visible on CXR/FL. Clinical Implications: Injury due to a protruding J-wire fracture should be considered in patients who have these atrial pacemaker leads and who present with chest pain, pericardial effusion, tamponade, or shock.

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