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Malfunction of a Sheath-Retracting Active-Fixation Pacemaker Electrode Due to Impacted Endocardium
Authors:DEEB N SALEM  JEFFREY M ISNER
Institution:From the Cardiology Division, Department of Medicine, New England Medical Center, Boston, Massachusetts
Abstract:A patient is described in whom a sheath-retracting active-fixation pacemaker electrode dislodged shortly after successful transvenous implantation in the right atrial appendage. Attempts to reposition the lead were unsuccessful. Examination of the explanted electrode disclosed that inability to reposition the electrode was due to the fact that impacted tissue around the electrode "screw" prevented its being re-advanced out of its polyurethane housing. (PACE, Vol. 5, March-April, 1982)
Keywords:active-fixation pacemaker electrode  atrial pacing  atrio-ventricular sequential pacing  electrode dislodgement  endocardial lead  screw-in electrode
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