First use of a rotating mechanical dilator sheath to extract an epicardial defibrillator lead from the pericardial space

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Abstract

A 39-year-old male presented with an epicardial ICD system infection. He had
separate shock leads placed in posterior epicardium and subcutaneously, and a
transvenous pace-sense lead. A Tightrail sheath under direct visualisation
successfully extracted the pericardial lead and avoided the need for sternotomy. This is the first description of an epicardial shock lead extracted with a rotating mechanical
cutting tool.
Original languageEnglish
JournalEP Europace
Publication statusAccepted/In press - 10 Apr 2022

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