AIMS: In parallel with increasing implantation rates and @entity1 ' longer life expectancy, the need for @entity16922 ( @entity16922 ) as a specialized procedure has shown a significant growth over years. Herein, we aimed to present our initial experience in @entity16922 by using a novel TightRail    Rotating Mechanical Dilator Sheath. METHODS AND RESULTS: Between October 2014 and March 2015, a total of 42 leads in 23 @entity1 were removed at our tertiary referral centre. All of the extracted leads were >12 months old and indications for extraction were based on the recommendations of the Heart Rhythm Society. The leads were removed by using the TightRail    Mechanical Dilator Sheath (Spectranetics Corporation) with the rotational cutting force only. Indications for lead removal included @entity299 in 12 (52.2%) cases, lead malfunction in the 10 (43.5%) cases, and upgrade to cardiac resynchronization therapy-de   brillator (CRT-D) in the remaining 1 case (4.3%). The extracted devices were pacemaker in 10 (43.4%) cases, @entity737 ( @entity737 ) in 7 (30.4%) cases, and CRT in the remaining 6 (26.0%) subjects. Among 42 leads, 10 (23.8%) were right ventricular, 14 (33.3%) were atrial, 13 (31.0%) were defibrilator, and 5 (11.9%) were coronary sinus electrodes. The median time from implantation was 72 (18-216) months. Complete procedural success with TightRail    system alone was achieved in 22 (95.7%) @entity1 (41/42 leads) and overall clinical success was 100%. One right ventricular lead was completely removed with the help of femoral snare. All the @entity1 were discharged uneventfully without any complication. CONCLUSION: Our preliminary data with small sample size show that TightRail    Mechanical Dilator Sheath is a new useful tool for chronically implanted pacemaker (PM)/ @entity737 leads. Continued investigation including large @entity1 cohort is required to evaluate success and complication rates in comparison to other tools and techniques.

Initial experience with the TightRail    Rotating Mechanical Dilator Sheath for XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity737 :: ('MESH:D057873', 'Disease') :: ['ICD', 'implantable cardioverter-defibrillator'] @entity299 :: ('MESH:D006331', 'Disease') :: ['cardiac device infection'] @entity16922 :: ('MESH:D020265', 'Disease') :: ['TLE', 'transvenous lead extraction']
@entity16922 :: (MESH:D020265,Disease) :: ['transvenous lead extraction']
