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Implantable Cardioverter-Defibrillator Lead Extraction by Conventional Traction and Counter-Traction Technique

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 ventricula...

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Detalles Bibliográficos
Autores principales: Park, Jong Sung, Pak, Hui-Nam, Lee, Moon-Hyoung, Kim, Sung Soon, Joung, Boyoung
Formato: Texto
Lenguaje:English
Publicado: The Korean Society of Cardiology 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2933469/
https://www.ncbi.nlm.nih.gov/pubmed/20830258
http://dx.doi.org/10.4070/kcj.2010.40.8.418
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author Park, Jong Sung
Pak, Hui-Nam
Lee, Moon-Hyoung
Kim, Sung Soon
Joung, Boyoung
author_facet Park, Jong Sung
Pak, Hui-Nam
Lee, Moon-Hyoung
Kim, Sung Soon
Joung, Boyoung
author_sort Park, Jong Sung
collection PubMed
description 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.
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spelling pubmed-29334692010-09-09 Implantable Cardioverter-Defibrillator Lead Extraction by Conventional Traction and Counter-Traction Technique Park, Jong Sung Pak, Hui-Nam Lee, Moon-Hyoung Kim, Sung Soon Joung, Boyoung Korean Circ J Case Report 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. The Korean Society of Cardiology 2010-08 2010-08-31 /pmc/articles/PMC2933469/ /pubmed/20830258 http://dx.doi.org/10.4070/kcj.2010.40.8.418 Text en Copyright © 2010 The Korean Society of Cardiology http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Park, Jong Sung
Pak, Hui-Nam
Lee, Moon-Hyoung
Kim, Sung Soon
Joung, Boyoung
Implantable Cardioverter-Defibrillator Lead Extraction by Conventional Traction and Counter-Traction Technique
title Implantable Cardioverter-Defibrillator Lead Extraction by Conventional Traction and Counter-Traction Technique
title_full Implantable Cardioverter-Defibrillator Lead Extraction by Conventional Traction and Counter-Traction Technique
title_fullStr Implantable Cardioverter-Defibrillator Lead Extraction by Conventional Traction and Counter-Traction Technique
title_full_unstemmed Implantable Cardioverter-Defibrillator Lead Extraction by Conventional Traction and Counter-Traction Technique
title_short Implantable Cardioverter-Defibrillator Lead Extraction by Conventional Traction and Counter-Traction Technique
title_sort implantable cardioverter-defibrillator lead extraction by conventional traction and counter-traction technique
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2933469/
https://www.ncbi.nlm.nih.gov/pubmed/20830258
http://dx.doi.org/10.4070/kcj.2010.40.8.418
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