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„Mission impossible” or ??? Everybody must not to do everything – terrible patient can be send to another TLE centre – why not ? ICD-Train 2013

Andrzej Kutarski Lublin (a_kutatski@yahoo.com)

www.usuwanieelektrod.pl


„Mission impossible” or ??? History: 2003 implantation VVI-ICD system (Lt side) 2006 lead P/S circuit damege with non-adequate HVT 2006 The new VVI ICD system implanted (Right side) Sinus bradycardia, >90% VVIp with retrograde VA conduction, frequent AF episodes


„Mission impossible� or ???

55-y old patient with HCM, sinus bradyc. and retrograde conduction. VVI pacing up to his end of life ?

www.usuwanieelektrod.pl a_kutarski@yahoo.com


„Mission impossible� or ???

Abandoned old, damaged - ICD lerad extraction

www.usuwanieelektrod.pl a_kutarski@yahoo.com


„Mission impossible� or ??? Abandoned old, damaged - ICD lead was extracted The new RAA lead was implanted The unit was replaced for DDD


„Mission impossible� or ???

Conclusions: 1. Better not to abandon ICD lead in young patient 2. Better to utilise one site ot the chest for the system in young patient 3. System should to be proper for the patient 4. System upgrading should be completed with abandoned lead extraction 5. Better to avoid simple lead traction if there is no possibility to perform it succesfull extraction www.usuwanieelektrod.pl a_kutarski@yahoo.com


Thanks for your attention Masz problem ? wyślij e-mila na:

a_kutarski@yahoo.com www.usuwanieelektrod.pl

Mission impossible and two icd leads  
Mission impossible and two icd leads  
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