Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2008
Lead extraction: a new effective tool to overcome fibrous binding sites.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Dello Russo Antonio, Biddau Roberto, Pelargonio Gemma, Casella Michela, Frontera Antonio, Camporeale Antonella, Bisceglia Caterina, Forleo Giovanni B, Tondo Claudio, Zecchi Paolo, Bellocci Fulvio
Аннотация
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.