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. The EV-ICD lead was extracted using simple traction after the removal of all adhesions at the xiphoidal site around the lead. We advise to only use extraction tools if the initial attempt is not successful and if no adhesions at the caudal part of the lead are visible anymore, as these tools could also damage the surrounding tissue and the lead.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1111/jce.16530 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Uncomplicated Extravascular Implantable Cardioverter-Defibrillator Extraction After 4 Years Dwell Time: A Case Report.
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 PDFClinical Decision Making and Technical Approaches in Implantable Cardioverter-Defibrillator Procedures: A Step by Step Critical Appraisal of Literature.
Rev Cardiovasc Med
November 2024
Department of Cardiology, University of Groningen, University Medical Center Groningen, 9713 GZ Groningen, The Netherlands.
Article Synopsis
Oldest-in-Human Successful Extraction Experience of a Novel Substernal Extravascular Defibrillator.
J 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.
Implantation of an Extravascular Implantable Defibrillator Using a Substernal Lead in a Patient with Previous Cardiac Surgery.
J Innov Card Rhythm Manag
October 2024
Cardiology and Electrophysiology, Hôpital de la Tour, Meyrin, Switzerland.
Article Synopsis
- - A 52-year-old man was diagnosed with malignant mitral valve prolapse syndrome and initially had surgery to repair his mitral valve.
- - Four years later, he needed an implantable cardioverter-defibrillator (ICD) to manage his condition.
- - He opted for a substernal ICD, which was successfully implanted with no complications, showing good electrical performance.
Safety and efficacy of an innovative external support device for de novo arterio-venous fistula creation: a French bicentric experience.
J Cardiovasc Surg (Torino)
November 2024
Department of Vascular Surgery, Saint-Joseph Hospital, Paris, France.
Article Synopsis
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!