Lead extraction: a new effective tool to overcome fibrous binding sites.
We report the case of a 50 year-old woman referred for extraction of an infected biventricular implantable cardioverter defibrillator (ICD) who underwent device and leads extraction. Due to adhesions at the level of the subclavian-innominate vein angle, manual traction with locking stylet was ineffective. A new mechanical sheath provided with a stainless steel bladed tip, the Evolution Mechanical Dilator Sheath (Cook Medical), was successfully used to complete lead extraction. As far as we know, this is the first report on the use of this new tool; its safety should be ascertained by increasing the number of cases but its simple use and its low cost make the Evolution Mechanical Dilator Sheath a new interesting tool that can be added to the instruments available for lead extraction.
Dello Russo
Antonio
A
Cardiac Arrhythmia and Heart Failure Research Center, Catholic University of Sacred Heart - St. Camillo-Forlanini Hospital, Rome, Italy.
Biddau
Roberto
R
Pelargonio
Gemma
G
Casella
Michela
M
Frontera
Antonio
A
Camporeale
Antonella
A
Bisceglia
Caterina
C
Forleo
Giovanni B
GB
Tondo
Claudio
C
Zecchi
Paolo
P
Bellocci
Fulvio
F
D000328:Adult; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D020878:Device Removal / Q000295:instrumentation* / Q000379:methods*; D004567:Electrodes, Implanted / Q000009:adverse effects*; D004867:Equipment Design; D019544:Equipment Failure Analysis; D005260:Female; D005355:Fibrosis / Q000209:etiology / Q000601:surgery; D006352:Heart Ventricles / Q000473:pathology* / Q000601:surgery*; D006801:Humans