Technique for subcutaneous implantable cardioverter-defibrillator extraction.
Overview
abstract
There are no established methods for subcutaneous implantable cardioverter-defibrillator (S-ICD) extraction other than simple manual traction for devices with short dwell time. However, as more chronic indwelling S-ICDs need removal for various reasons, understanding the S-ICD lead design and methods for its removal are essential. A case of a chronic indwelling S-ICD extraction is described, and a technique utilizing a modified mechanical polypropylene sheath to safely remove the lead is outlined in detail.