Hybrid minimally invasive technique with the bidirectional rotational Evolution® mechanical sheath for transvenous lead extraction: A collaboration between electrophysiologists and cardiac surgeons

Federico Migliore; Giacomo Cavalli; Tomaso Bottio; Martina Testolina; Manuel De Lazzari; Emanuele Bertaglia; Sabino Iliceto; Gino Gerosa

doi:10.1002/joa3.12064

Hybrid minimally invasive technique with the bidirectional rotational Evolution^® mechanical sheath for transvenous lead extraction: A collaboration between electrophysiologists and cardiac surgeons

J Arrhythm. 2018 Apr 30;34(3):329-332. doi: 10.1002/joa3.12064. eCollection 2018 Jun.

Authors

Federico Migliore¹, Giacomo Cavalli¹, Tomaso Bottio¹, Martina Testolina¹, Manuel De Lazzari¹, Emanuele Bertaglia¹, Sabino Iliceto¹, Gino Gerosa¹

Affiliation

¹ Department of Cardiac, Thoracic, and Vascular Sciences University of Padova Padova Italy.

Abstract

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.

Keywords: Evolution RL; cardiac electronic devices; implantable cardioverter‐defibrillator; lead extraction; minimally invasive thoracotomy.

Publication types

Case Reports