Open AccessHybrid minimally invasive technique with the bidirectional rotational Evolution ® mechanical sheath for transvenous lead extraction: A collaboration between electrophysiologists and cardiac surgeons
Author(s) -
Migliore Federico,
Cavalli Giacomo,
Bottio Tomaso,
Testolina Martina,
De Lazzari Manuel,
Bertaglia Emanuele,
Iliceto Sabino,
Gerosa Gino
Publication year - 2018
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1002/joa3.12064
Subject(s) - medicine , implantable cardioverter defibrillator , safer , extraction (chemistry) , lead (geology) , cardiology , computer security , computer science , chemistry , chromatography , geomorphology , geology
We report a case of a 63‐year‐old man referred for lead extraction with the bidirectional rotational Evolution ® RL mechanical sheath because of systemic infection. As it was judged a “high‐risk” procedure, we opted for a “hybrid,” minimally invasive approach consisting in a minithoracotomic access. This technique is a feasible approach, and it might be a potential safer alternative in the most challenging transvenous lead extraction procedures.