Implantable Cardioverter-Defibrillator Lead Extraction by Conventional Traction and Counter-Traction Technique
Korean Circulation Journal 2010³â 40±Ç 8È£ p.418 ~ p.420
¹ÚÁ¾¼º(Park Jong-Sung) - ¿¬¼¼´ëÇб³ ÀÇ°ú´ëÇÐ ½ÉÀå³»°úÇб³½Ç
¹ÚÈñ³²(Park Hui-Nam) - ¿¬¼¼´ëÇб³ ¼¼ºê¶õ½ºº´¿ø ¼øȯ±â³»°ú
À̹®Çü(Lee Moon-Hyoung) - ¿¬¼¼´ëÇб³ ÀÇ°ú´ëÇÐ ½ÉÀå³»°úÇб³½Ç
±è¼º¼ø(Kim Sung-Soon) - ¿¬¼¼´ëÇб³ ÀÇ°ú´ëÇÐ ½ÉÀå³»°úÇб³½Ç
Á¤º¸¿µ(Joung Bo-Young) - ¿¬¼¼´ëÇб³ ÀÇ°ú´ëÇÐ ½ÉÀå³»°úÇб³½Ç
Abstract
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.
Å°¿öµå
Device failure, Implantable cardioverter defibrillator, Device removal
KMID :
0368120100400080418
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À¯È¿¼º°á°ú(Recomendation)
The fractured ICD lead was completely removed by traction of locking stylet and counter-traction of polypropylene dilator sheath.