Innovative method for extraction of a fractured pacemaker lead

Abstract

Percutaneous fractured pacemaker lead removal is considered a challenging process and may be complicated by vascularrupture, pneumothorax, cardiac perforation, tamponade, or even death. Here we described a successful case of percutaneous fractured pacemaker lead extraction. Pacemaker right ventricular lead is coaxial screwing type and the proximal end is fractured, so we are not able to unscrew the proximal end conventionally with screwing clip. As the screw portion of the lead mainly contributed by inner cathode wire, patient was planned to remove pacemaker lead four layers one by one. Using the serrations of small artery forceps, inner pacing wire was held firmly and unscrewing done without any damage to the wire. Pacemaker lead was successfully extracted with no procedure complications.