A 49-year-old male patient underwent substernal lead removal 2.5 years after implantation. The workflow of the procedure and our experience are described in this case report.
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http://dx.doi.org/10.1016/j.jaccas.2024.102485 | DOI Listing |
J Cardiovasc Electrophysiol
December 2024
Heart Center, Department of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam UMC, location AMC, The Netherlands.
The extravascular implantable cardioverter-defibrillator (EV-ICD) was developed to overcome complications associated with transvenous leads while being able to deliver anti-tachycardia pacing (ATP). The lead is implanted in the substernal space, which makes extraction a cautious procedure. We present a case of a 51-year-old women with a successful EV-ICD extraction after a lead dwell time of 4 years, which is the longest reported.
View Article and Find Full Text PDFANZ J Surg
December 2024
Endocrine Surgery Unit, University of Sydney, Royal North Shore Hospital, St Leonards, New South Wales, Australia.
Background: Thyroid rests are common and arise during embryological development, with aberrant descent of thyroid tissue along the thyro-thymic tract. These give rise to a range of pathologies, including goitre formation and malignancy. Thyroid rests have been graded I-IV based on their connection to the thyroid gland proper - grade I is a short protuberance, grade II & III are connected via a pedicle and fibrous band respectively, and grade IV is completely disconnected.
View Article and Find Full Text PDFJ Cardiovasc Electrophysiol
November 2024
University of Melbourne, Melbourne, Parkville, Victoria, Australia.
Introduction: Substernal extravascular defibrillators (EV ICDs) have been shown to be effective and safe for patients at risk of sudden cardiac death, however, there is little evidence around the safety of extracting chronic devices.
Methods And Results: We present a 50-year-old patient in whom a Medtronic EV ICD system was successfully removed without specialist extraction tools, 186 weeks after implantation, by an operator experienced in transvenous lead extraction but without formal training in EVICD implantation.
Conclusion: The successful extraction of an EV ICD system is possible without specialised tools at least 3.
J Innov Card Rhythm Manag
October 2024
Cardiology and Electrophysiology, Hôpital de la Tour, Meyrin, Switzerland.
JACC Case Rep
September 2024
Cardiology Service, Regional University Hospital Center of Tours, Tours, France.
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