Extraction of a fractured pacemaker lead in the left bundle branch area using a snare via a femoral approach

J Interv Card Electrophysiol. 2023 Mar;66(2):239-240. doi: 10.1007/s10840-022-01325-7. Epub 2022 Aug 11.

Abstract

We present the first reported case of extraction of a ventricular lead placed in the left bundle branch area with a double-loop design snare via the femoral approach without any complication. It was a 4-month-old lead whose extraction was not possible only with a conventional stylet via an implant vein approach, so we want to show that complete procedural success is possible.

Keywords: Extraction of pacemaker lead; Left bundle branch area pacing; Physiological pacing.

MeSH terms

  • Bundle of His
  • Cardiac Pacing, Artificial*
  • Electrocardiography
  • Heart Conduction System
  • Humans
  • Infant
  • Pacemaker, Artificial*