Why the study?
Can a rotating mechanical dilator sheath be used to successfully extract a subcutaneous ICD coil?
Can a rotating mechanical dilator sheath be used to successfully extract a subcutaneous ICD coil?
This case report demonstrates the first successful use of a rotating mechanical dilator sheath for extracting a subcutaneous ICD coil.
Answers are grounded in this paper and cite their sources.
Supports feasibility of TightRail for S-ICD coil extraction in select cases; hypothesis-generating and requires prospective validation before broader use.
Key Teaching Points•The TightRail rotating mechanical dilator sheath (Spectranetics Corp, Colorado Springs, CO) has emerged as a novel tool for extraction of transvenous implantable cardioverter-defibrillator (ICD) leads.•Its use for extraction of subcutaneous ICD (S-ICD) systems has not been reported before.•To the best of our knowledge, this is the first case reporting use of a mechanical dilator sheath for successful extraction of a subcutaneous coil of an S-ICD. •The TightRail rotating mechanical dilator sheath (Spectranetics Corp, Colorado Springs, CO) has emerged as a novel tool for extraction of transvenous implantable cardioverter-defibrillator (ICD) leads.•Its use for extraction of subcutaneous ICD (S-ICD) systems has not been reported before.•To the best of our knowledge, this is the first case reporting use of a mechanical dilator sheath for successful extraction of a subcutaneous coil of an S-ICD.
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Patel et al. (2019) studied this question.
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