Fighting fungus with a laser and a hose: Management of a giant Candida albicans implantable cardioverter-defibrillator lead vegetation with simultaneous AngioVac aspiration and laser sheath lead extraction

2017 ◽  
Vol 91 (2) ◽  
pp. 318-321 ◽  
Author(s):  
Brandon M. Jones ◽  
Oussama Wazni ◽  
Susan J. Rehm ◽  
Mehdi H. Shishehbor
Keyword(s):  
Candida Albicans ◽  
Implantable Cardioverter Defibrillator ◽  
Lead Extraction ◽  
Cardioverter Defibrillator ◽  
Defibrillator Lead

Major predictors of fibrous adherences in transvenous implantable cardioverter-defibrillator lead extraction

Heart Rhythm ◽  
2014 ◽  
Vol 11 (12) ◽  
pp. 2196-2201 ◽  
Author(s):  
Luca Segreti ◽  
Andrea Di Cori ◽  
Ezio Soldati ◽  
Giulio Zucchelli ◽  
Stefano Viani ◽  
...  
Keyword(s):  
Implantable Cardioverter Defibrillator ◽  
Lead Extraction ◽  
Cardioverter Defibrillator ◽  
Defibrillator Lead

scholarly journals Chest Pain Associated with Moderator Band Pacing

2014 ◽  
Vol 41 (5) ◽  
pp. 551-553 ◽  
Author(s):  
Anil K. Goli ◽  
Karoly Kaszala ◽  
Mohammed N. Osman ◽  
John Lucke ◽  
Roger Carrillo
Keyword(s):  
Chest Pain ◽  
Right Ventricular ◽  
Implantable Cardioverter Defibrillator ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Lead Extraction ◽  
Cardioverter Defibrillator ◽  
Moderator Band ◽  
Ventricular Lead ◽  
Defibrillator Lead

A 65-year-old man was evaluated for chronic chest pain that had been present for 8 years after placement of a dual-chamber implantable cardioverter-defibrillator to treat inducible ventricular tachycardia. Previous coronary angiography had revealed nonobstructive coronary artery disease and a left ventricular ejection fraction of 0.45 to 0.50, consistent with mild idiopathic nonischemic cardiomyopathy. Evaluation with chest radiography and transthoracic echocardiography showed the implantable cardioverter-defibrillator lead to be embedded within the right ventricle at the moderator band, which had mild calcification. Treatment included extraction of the dual-coil lead and placement of a new single-coil right ventricular lead at the mid septum. The patient had complete relief of symptoms after the procedure. This case shows that chest pain can be associated with the placement of a right ventricular implantable cardioverter-defibrillator lead in the moderator band and that symptomatic relief can occur after percutaneous lead extraction and the implantation of a new right ventricular lead to the mid septal region.

scholarly journals Implantable Cardioverter-Defibrillator Lead Extraction by Conventional Traction and Counter-Traction Technique

2010 ◽  
Vol 40 (8) ◽  
pp. 418 ◽  
Author(s):  
Jong Sung Park ◽  
Hui-Nam Pak ◽  
Moon-Hyoung Lee ◽  
Sung Soon Kim ◽  
Boyoung Joung
Keyword(s):  
Implantable Cardioverter Defibrillator ◽  
Lead Extraction ◽  
Cardioverter Defibrillator ◽  
Defibrillator Lead

scholarly journals Watchful waiting in an unusual cause of hypoxemia after implantable cardioverter-defibrillator lead extraction

2019 ◽  
Vol 22 (1) ◽  
pp. 109
Author(s):  
Jonida Bejko ◽  
Lorenzo Di Bacco ◽  
Alessandra Stara ◽  
Aldo Manzato ◽  
Antonio Curnis ◽  
...  
Keyword(s):  
Implantable Cardioverter Defibrillator ◽  
Watchful Waiting ◽  
Lead Extraction ◽  
Cardioverter Defibrillator ◽  
Defibrillator Lead

scholarly journals Forces Applied during Transvenous Implantable Cardioverter Defibrillator Lead Removal

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Carsten Lennerz ◽  
Herribert Pavaci ◽  
Christian Grebmer ◽  
Gesa von Olshausen ◽  
Verena Semmler ◽  
...  
Keyword(s):  
Implantable Cardioverter Defibrillator ◽  
Traction Force ◽  
Friction Loss ◽  
Lead Extraction ◽  
Lead Removal ◽  
Safe Procedure ◽  
Traction Forces ◽  
Cardioverter Defibrillator ◽  
Icd Leads ◽  
Defibrillator Lead

Methods. 17 physicians, experienced in transvenous lead removal, performed a lead extraction manoeuvre of an ICD lead on a torso phantom. They were advised to stop traction only when further traction would be considered as harmful to the patient or when—based on their experience—a change in the extraction strategy was indicated. Traction forces were recorded with a digital precision gauge.Results. Median traction forces on the endocardium were 10.9 N (range from 3.0 N to 24.7 N and interquartile range from 7.9 to 15.3). Forces applied to the proximal end were estimated to be 10% higher than those measured at the tip of the lead due to a friction loss.Conclusion. A traction force of around 11 N is typically exerted during standard transvenous extraction of ICD leads. A traction threshold for a safe procedure derived from a pool of experienced extractionists may be helpful for the development of required adequate simulator trainings.

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