Implantable Cardioverter-Defibrillator Lead Extraction by Conventional Traction and Counter-Traction Technique
Korean Circulation Journal 2011³â 41±Ç 3È£ p.164 ~ p.166
¹ÚÁ¾¼º(Park Jong-Sung) - Yonsei University Health System Severance Cardiovascular Hospital Division of Cardiology
¹Úȸ³²(Park Hui-Nam) - Yonsei University Health System Severance Cardiovascular Hospital Division of Cardiology
À̹®Çü(Lee Moon-Hyoung) - Yonsei University Health System Severance Cardiovascular Hospital Division of Cardiology
±è¼º¼ø(Kim Sung-Soon) - Yonsei University Health System Severance Cardiovascular Hospital Division of Cardiology
Á¤º¸¿µ(Joung Bo-Young) - Yonsei University Health System Severance Cardiovascular Hospital Division of Cardiology
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-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.
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Implantable cardioverter defibrillators, Medical device failure, Device removal
KMID :
0368120110410030164
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The fractured ICD lead was completely removed by traction of locking stylet and counter-traction of polypropylene dilator sheath.