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

doi:10.1007/s10840-008-9326-y

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

Centro Cardiologico Monzino

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Pages (from-to)	147-150
Number of pages	4
Journal	Journal of Interventional Cardiac Electrophysiology
Volume	24
Issue number	2
DOIs	https://doi.org/10.1007/s10840-008-9326-y
Publication status	Published - Mar 2009

Keywords

Implantable cardioverter defibrillator
Infection
Lead extraction
Mechanical sheath

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Physiology (medical)

Access to Document

10.1007/s10840-008-9326-y

Cite this

Lead extraction : A new effective tool to overcome fibrous binding sites. / Dello Russo, Antonio; Biddau, Roberto; Pelargonio, Gemma; Casella, Michela; Frontera, Antonio; Camporeale, Antonella; Bisceglia, Caterina; Forleo, Giovanni B.; Tondo, Claudio; Zecchi, Paolo; Bellocci, Fulvio.

In: Journal of Interventional Cardiac Electrophysiology, Vol. 24, No. 2, 03.2009, p. 147-150.

Research output: Contribution to journal › Article › peer-review

Dello Russo, Antonio ; Biddau, Roberto ; Pelargonio, Gemma ; Casella, Michela ; Frontera, Antonio ; Camporeale, Antonella ; Bisceglia, Caterina ; Forleo, Giovanni B. ; Tondo, Claudio ; Zecchi, Paolo ; Bellocci, Fulvio. / Lead extraction : A new effective tool to overcome fibrous binding sites. In: Journal of Interventional Cardiac Electrophysiology. 2009 ; Vol. 24, No. 2. pp. 147-150.

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

Abstract

Keywords

ASJC Scopus subject areas

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