Mechanical Rotating Lead Extraction Sheath
Also called Evolution RL, TightRail, mechanically powered sheath
- Setup
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A mechanically powered rotating sheath passed over the lead. Examples named in the sources are Cook Medical Evolution RL and Spectranetics TightRail.
Primary uses
What this instrument is on the table to do.
Transvenous lead extraction when non-powered dilator sheaths cannot get through dense adhesions. The dilator sheaths are removed and the rotating sheath is advanced, though some teams use non-powered sheaths along with it, especially with Evolution.
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