The bidirectional rotational Evolution RL mechanical extraction sheath can be safely and effectively used for chronically implanted lead extraction in children with congenital heart disease.
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May support bidirectional rotational sheath for pediatric lead extraction; extends limited data but leaves open need for prospective validation.
We reported a challenging transvenous lead extraction procedure for lead failure in a child with congenital heart disease. Our report demonstrates that the new hand-powered bidirectional rotational Evolution RL (Cook Medical, USA) mechanical extraction sheath is an effective and safe tool for the extraction of chronically implanted leads in children.
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Migliore et al. (2017) studied this question.
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