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Journal of Interventional Cardiac Electrophysiology

Published in:

01-03-2009 | CASE REPORT

Lead extraction: a new effective tool to overcome fibrous binding sites

Authors: Antonio Dello Russo, Roberto Biddau, Gemma Pelargonio, Michela Casella, Antonio Frontera, Antonella Camporeale, Caterina Bisceglia, Giovanni B. Forleo, Claudio Tondo, Paolo Zecchi, Fulvio Bellocci

Published in: Journal of Interventional Cardiac Electrophysiology | Issue 2/2009

Abstract

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.

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Title: Lead extraction: a new effective tool to overcome fibrous binding sites
Authors: Antonio Dello Russo
Roberto Biddau
Gemma Pelargonio
Michela Casella
Antonio Frontera
Antonella Camporeale
Caterina Bisceglia
Giovanni B. Forleo
Claudio Tondo
Paolo Zecchi
Fulvio Bellocci
Publication date: 01-03-2009
Publisher: Springer US
Published in: Journal of Interventional Cardiac Electrophysiology / Issue 2/2009
Print ISSN: 1383-875X
Electronic ISSN: 1572-8595
DOI: https://doi.org/10.1007/s10840-008-9326-y

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Lead extraction: a new effective tool to overcome fibrous binding sites

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