The first use of a rotating mechanical dilator sheath for S-ICD coil extraction
| Autor: | Jeremy Miles, Kavisha Patel, Jay N. Gross, Xiao Dong Zhang, Nicola Tarantino |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
TightRail business.industry Defibrillation medicine.medical_treatment Case Report 030204 cardiovascular system & hematology Inappropriate shocks Pacemaker leads Surgery 03 medical and health sciences 0302 clinical medicine Extraction techniques S-ICD Electromagnetic coil Dilator RC666-701 Medicine Diseases of the circulatory (Cardiovascular) system In patient Mechanical dilator sheath 030212 general & internal medicine Cardiology and Cardiovascular Medicine business |
| Zdroj: | HeartRhythm Case Reports, Vol 6, Iss 2, Pp 94-97 (2020) HeartRhythm Case Reports |
| ISSN: | 2214-0271 |
| Popis: | Over the last decade, subcutaneous implantable cardioverter-defibrillator (S-ICD) implantation has gained significant momentum for the prevention of sudden cardiac death. This device has been implanted in more than 19,000 patients worldwide.1 Given their ability to deliver defibrillation while leaving the heart and vasculature untouched, S-ICDs have emerged as an appealing alternative to conventional transvenous ICDs. Supporting the notion that transvenous leads are the “Achilles heel” of traditional ICDs, a recent meta-analysis2 demonstrated a significantly lower rate of lead-related complications in patients implanted with S-ICDs compared to transvenous ICDs. However, acute and chronic complications still do occur with S-ICDs, sometimes requiring device extraction. There is an increasing necessity to establish safe and effective methods for device extraction in the event of untoward complications. Currently, data describing the challenges encountered during S-ICD extraction are scarce. Of the various components, extraction of the subcutaneous coil can be particularly difficult. The TightRail (Spectranetics Corp, Colorado Springs, CO) rotating mechanical dilator has emerged as a novel tool for the extraction of transvenous ICD and pacemaker leads in the past 5 years, with early reports revealing encouraging results.3, 4 The purpose of this case report is to describe the use of a mechanical dilator sheath for extraction of an S-ICD coil. To our knowledge, this is the first case in the literature reporting the safety and efficacy of TightRail for successful extraction of a chronically implanted S-ICD coil. |
| Databáze: | OpenAIRE |
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