Successful extraction of right ventricular lead remnants using the FlexCathA (R) steerable sheath

摘要

In patients undergoing laser lead extraction, incomplete or failed lead removal occur in over 3 of leads. Because the current available tools have limitations in reaching the right ventricle (RV), the procedure becomes challenging when the lead breaks and its fragments remain lodged in the RV. We describe two cases in which the FlexCathA (R) steerable sheath, normally used in cryoballoon catheter ablation for atrial fibrillation, was useful in directing a bioptome to right ventricular lead fragments and thus allowing for complete lead extraction.