SNARE REMOVAL OF A TELECTRONICS ACCUFIX ATRIAL J RETENTION WIRE

A voluntary recall of the Telectronics Accufix models 330-801 and 329- 701 ''J''-shaped atrial pacemaker leads has been issued because of fra cture and extrusion of the J-shaped retention wire. Such extrusion can result in laceration of the atrium or surrounding vascular structures , Herein we describe a patient with a fractured and extruded retention wire that was snared and removed percutaneously; the atrial lead was left intact, and pacing function was satisfactory. This unique procedu re can be used to avoid the morbidity associated with percutaneous lea d extraction or thoracotomy and to prevent potential dislodgment and e mbolization of the retention wire during lead extraction.