A steerable introducer-assisted wire-loop snare technique: A bailout for unsuccessful lead extraction by a Needle's Eye Snare

Tsuyoshi Isawa; Taku Honda; Kazuhiro Yamaya; Shigeru Toyoda

doi:10.1002/joa3.12766

A steerable introducer-assisted wire-loop snare technique: A bailout for unsuccessful lead extraction by a Needle's Eye Snare

J Arrhythm. 2022 Aug 9;38(5):821-823. doi: 10.1002/joa3.12766. eCollection 2022 Oct.

Authors

Tsuyoshi Isawa¹, Taku Honda¹, Kazuhiro Yamaya², Shigeru Toyoda³

Affiliations

¹ Department of Cardiology Sendai Kousei Hospital Sendai Japan.
² Department of Cardiovascular Surgery Sendai Kousei Hospital Sendai Japan.
³ Department of Cardiovascular Medicine Dokkyo Medical University Mibu Japan.

Abstract

The Needle's Eye Snare (Cook Medical) is an effective tool for extracting leads via a femoral vein. However, it sometimes fails to grasp the lead. We describe an alternative method of successfully grasping a lead by creating a wire-loop around the lead with the help of a steerable introducer.

Keywords: Agilis NxT steerable introducer; Needle's Eye Snare; lead extraction; transfemoral approach; wire‐loop snare.