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KMID : 1011920120130020044
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International Journal of Arrhythmia
2012 Volume.13 No. 2 p.44 ~ p.48
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Successful extraction of an implantable cardioverter defibrillator lead in a patient with pocket infection via the femoral approach by using a basket snare
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Kim Jin-Bae
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Abstract
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A 27-year-old man was admitted to our institution with implantable cardioverter-defibrillator (ICD) pocket infection. The ICD (single chamber, dual shock coils) was implanted for the prevention of aborted sudden cardiac death due to idiopathic ventricular fibrillation. Because we could not use locking stylet and countertraction manuever, baseket snare with metal wire should be hanged at the maximal distal site of lead. With repeated simple traction, the ICD lead was completely removed. The femoral approach with snares and kits is not the first choice of lead extraction. It is indicated in cases of lead breakage, cases where other techniques fail to extract leads from the superior veins, and cases where application of excessive force to the mechanical sheaths is to be avoided. Therefore, we recommend the femoral approach with basket snare should be used in some selective cases.
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KEYWORD
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device removal, implantable-cardioverter defibrillator, infection
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