Implantable cardioverter-defibrillator lead extraction by conventional traction and counter-traction technique

Jong Sung Park, Hui Nam Pak, Moon Hyoung Lee, Sung Soon Kim, Boyoung Joung

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

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 countertraction 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.

Original languageEnglish
Pages (from-to)164-166
Number of pages3
JournalKorean Circulation Journal
Volume41
Issue number3
DOIs
Publication statusPublished - 2011 Mar

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

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