title: An unusual obstacle in lead extraction.
abstract: This case report deals with an unusual complication in the removal of an active fixation implantable cardioverter defibrillator (ICD) lead. We were not able to pass the stylet beyond the point of lead fracture and this was subsequently found to be due to the stylet passing between the electrode and the outer layer of the lead insulation. The lead was removed by rotation extraction of the entire lead.
authors.affiliation: Department of Cardiology, Aberdeen Royal Infirmary, Scotland, United Kingdom.
authors.forename: Ramasami
authors.initials: R
authors.lastname: Nandakumar
authors.forename: Paul
authors.initials: P
authors.lastname: Broadhurst
mesh_terms: D000328:Adult; D017147:Defibrillators, Implantable; D020878:Device Removal; D017097:Electric Impedance; D004867:Equipment Design; D004868:Equipment Failure; D006801:Humans; D008297:Male; D012399:Rotation; D013499:Surface Properties