Key result
A technique utilizing a modified mechanical polypropylene sheath was described to safely remove a chronic indwelling subcutaneous implantable cardioverter-defibrillator lead.
Why the study?
Methods for subcutaneous implantable cardioverter-defibrillator (S-ICD) extraction beyond simple manual traction for short dwell times are not established, creating a need for techniques to remove chronic indwelling S-ICDs.
Case Report (n=1)
Provides a detailed technique for extracting chronic indwelling S-ICD leads using a modified mechanical polypropylene sheath, addressing a gap in established methods.
Answers are grounded in this paper and cite their sources.
May offer a feasible extraction method for chronic S-ICDs; leaves open need for prospective validation before wider adoption.
There are no established methods for subcutaneous implantable cardioverter-defibrillator (S-ICD) extraction other than simple manual traction for devices with short dwell time. However, as more chronic indwelling S-ICDs need removal for various reasons, understanding the S-ICD lead design and methods for its removal are essential. A case of a chronic indwelling S-ICD extraction is described, and a technique utilizing a modified mechanical polypropylene sheath to safely remove the lead is outlined in detail.
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James E. Ip (2019) conducted a case report in Chronic indwelling subcutaneous implantable cardioverter-defibrillator (S-ICD) needing extraction (n=1). Modified mechanical polypropylene sheath was evaluated on Safe removal of the S-ICD lead. A technique utilizing a modified mechanical polypropylene sheath was described to safely remove a chronic indwelling subcutaneous implantable cardioverter-defibrillator lead.
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