Doctor was performing a dual chamber biventricular icd placement in cath lab and had placed the icd lead into veins over the lateral ventricle using a st.
Jude courier guidewire.
Jude rep was present in cath lab during this procedure.
The lead was moved to find adequate pacing threshold and no phrenic nerve stimulation with 10-volt testing.
Movement and active fixation of all leads were observed under fluoroscopy.
No resistance was met when the guidewire was inserted.
When retracting the guidewire from the coronary sinus, the tip of the guidewire was broken and could not be brought back.
It was felt that this 1.
5 to 2 cm tip, which is in the distal portion of the vein, would not move from this place.
Surgeon determined that attempted removal of the tip would be more risk to the patient than leaving the tip in the vein permanently.
The tip was not removed from the patient.
The procedure was completed with no complications except the broken tip of the guide wire, which is left in the distal portion of the vein.
Patient was discharged home from the hospital in good condition the following day.
====================== health professional's impression======================this type of guidewire has never broken before during a procedure.
The cause of the break is unknown.
====================== manufacturer response for icd guidewire, cps courier guidewire======================st.
Jude rep was present during the procedure.
Jude wants the device back for investigation of this event and upon completion of this report, device will be released to manufacturer for testing.
Stated that this device has never broken before to their knowledge.