Dello Russo Antonio, Biddau Roberto, Pelargonio Gemma, Casella Michela, Frontera Antonio, Camporeale Antonella, Bisceglia Caterina, Forleo Giovanni B, Tondo Claudio, Zecchi Paolo, Bellocci Fulvio
Cardiac Arrhythmia and Heart Failure Research Center, Catholic University of Sacred Heart - St. Camillo-Forlanini Hospital, Rome, Italy.
J Interv Card Electrophysiol. 2009 Mar;24(2):147-50. doi: 10.1007/s10840-008-9326-y. Epub 2008 Nov 6.
We report the case of a 50 year-old woman referred for extraction of an infected biventricular implantable cardioverter defibrillator (ICD) who underwent device and leads extraction. Due to adhesions at the level of the subclavian-innominate vein angle, manual traction with locking stylet was ineffective. A new mechanical sheath provided with a stainless steel bladed tip, the Evolution Mechanical Dilator Sheath (Cook Medical), was successfully used to complete lead extraction. As far as we know, this is the first report on the use of this new tool; its safety should be ascertained by increasing the number of cases but its simple use and its low cost make the Evolution Mechanical Dilator Sheath a new interesting tool that can be added to the instruments available for lead extraction.
我们报告了一例50岁女性患者，因感染的双心室植入式心脏复律除颤器（ICD）需要取出而前来就诊，该患者接受了设备和导线取出术。由于锁骨下无名静脉角处存在粘连，使用带锁定探针的手动牵引无效。一种新型机械鞘管，即带有不锈钢刀片尖端的Evolution机械扩张鞘管（库克医疗公司），成功用于完成导线取出。据我们所知，这是关于使用这种新工具的首次报告；其安全性应通过增加病例数量来确定，但它使用简单且成本低廉，使Evolution机械扩张鞘管成为一种新的有趣工具，可添加到现有的导线取出器械中。
