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

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

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish
Pages (from-to)147-150
Number of pages4
JournalJournal of Interventional Cardiac Electrophysiology
Issue number2
Publication statusPublished - Mar 2009


  • Implantable cardioverter defibrillator
  • Infection
  • Lead extraction
  • Mechanical sheath

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)


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