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Implantable cardioverter-defibrillator lead extraction by conventional traction and counter-traction technique

Authors
 Jong Sung Park, MD  ;  Hui-Nam Pak, MD  ;  Boyoung Joung, MD  ;  Sung Soon Kim, MD  ;  Moon-Hyoung Lee, MD 
Citation
 Korean Circulation Journal, Vol.41(3) : 164-166, 2011 
Journal Title
 Korean Circulation Journal 
ISSN
 1738-5520 
Issue Date
2011
Abstract
A 46-year-old man presented to our institution with inappropriate implantable cardioverter-defibrillator (ICD) shock delivery. The ICD (single chamber, dual shock coils) was implanted for sustained monomorphic ventricular tachycardia with unstable hemodynamics and underlying systolic left ventricular dysfunction. ICD interrogation revealed recurrent episodes of ICD shock due to noise sensing and increased impedance of right ventricular-lead. With the impression of lead fracture, ICD lead extraction was performed. The fractured ICD lead was completely removed by traction of locking stylet and counter-traction of polypropylene dilator sheath. A new lead was inserted and the patient was discharged without complications after 2 days. To our knowledge, this is the first report on ICD lead extraction by conventional traction and counter-traction technique in Korea
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/93559
DOI
10.4070/kcj.2011.41.3.164
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
Yonsei Authors
김성순(Kim, Sung Soon) ; 박종성(Park, Jong Seoung) ; 박희남(Pak, Hui Nam) ; 이문형(Lee, Moon Hyoung) ; 정보영(Joung, Bo Young)
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