Implantable cardioverter-defibrillator lead extraction by conventional traction and counter-traction technique.
A 46-year-old man presented to our institution with inappropriate implantable cardioverter-defibrillator (ICD) shock delivery. The ICD (single chamber, dual shock coils) was implanted for sustained monomorphic ventricular tachycardia with unstable hemodynamics and underlying systolic left ventricular dysfunction. ICD interrogation revealed recurrent episodes of ICD shock due to noise sensing and increased impedance of right ventricular (RV)-lead. With the impression of lead fracture, ICD lead extraction was performed. The fractured ICD lead was completely removed by traction of locking stylet and counter-traction of polypropylene dilator sheath. A new lead was inserted and the patient was discharged without complications after 2 days. To our knowledge, this is the first report on ICD lead extraction by conventional traction and counter-traction technique in Korea.
Park
Jong Sung
JS
Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University Health System, Seoul, Korea.
Pak
Hui-Nam
HN
Lee
Moon-Hyoung
MH
Kim
Sung Soon
SS
Joung
Boyoung
B