title: Successful removal of a jugular implantable defibrillator lead with mechanical single-sheath technique.
abstract: We describe the case of a man with an implantable defibrillator and a dual-coil lead introduced via the right internal jugular vein. Due to pocket infection and lead erosion at the jugular vein, transvenous lead extraction was attempted with a mechanical single-sheath technique. The lead was completely removed without complications with culture and sensitivity results guiding an effective antibiotic therapy.
authors.affiliation: San Vincenzo Hospital, Taormina, Messina, ItalyMedtronic Italia, Rome, Italy. gicalvagna@tiscali.it
authors.forename: Giuseppe M
authors.initials: GM
authors.lastname: Calvagna
authors.forename: Rosario
authors.initials: R
authors.lastname: Evola
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Scardace
authors.forename: Sergio
authors.initials: S
authors.lastname: Valsecchi
mesh_terms: D000328:Adult; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D020878:Device Removal / Q000295:instrumentation* / Q000379:methods*; D004567:Electrodes, Implanted / Q000009:adverse effects*; D004867:Equipment Design; D006801:Humans; D007601:Jugular Veins / Q000601:surgery*; D008297:Male; D016459:Prosthesis-Related Infections / Q000209:etiology* / Q000601:surgery*; D016896:Treatment Outcome