Why the study?
Substernal extravascular defibrillators are effective and safe for patients at risk of sudden cardiac death, but evidence regarding the safety of extracting chronic devices is limited.
Can a chronic substernal extravascular defibrillator be successfully extracted without specialist tools?
Case Report (n=1)
Can a chronic substernal extravascular defibrillator be successfully extracted without specialist tools?
This case report provides early evidence that chronic substernal extravascular defibrillators can be successfully extracted without specialized tools at least 3.6 years post-implantation.
Answers are grounded in this paper and cite their sources.
Supports feasibility of chronic EV ICD extraction without specialist tools; hypothesis-generating for broader safety and reproducibility.
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 3.6 years post-implant.
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Chauhan et al. (2024) conducted a case report in Risk of sudden cardiac death with implanted EV ICD (n=1). Extraction of EV ICD system without specialist tools was evaluated on Successful removal of the EV ICD system.
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