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Radiofrequency ablation–assisted extraction of a pacing lead fragment

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1 Radiofrequency ablation–assisted extraction of a pacing lead fragment
J. William Schleifer, MD, Win-Kuang Shen, MD, FHRS, Sailen G. Naidu, MD, Komandoor Srivathsan, MD  HeartRhythm Case Reports  Volume 1, Issue 4, Pages (July 2015) DOI: /j.hrcr Copyright © 2015 Heart Rhythm Society Terms and Conditions

2 Figure 1 Fragments of the right atrial lead (arrow) on fluoroscopy.
HeartRhythm Case Reports 2015 1, DOI: ( /j.hrcr ) Copyright © 2015 Heart Rhythm Society Terms and Conditions

3 Figure 2 The inch Pilot wire was used to form a loop to snare the lead fragment (arrow). The sheath is advanced to the lead fragment, allowing traction for attempted removal. HeartRhythm Case Reports 2015 1, DOI: ( /j.hrcr ) Copyright © 2015 Heart Rhythm Society Terms and Conditions

4 Figure 3 Radiofrequency ablation (at point of arrow) is performed over the pacing lead electrodes. HeartRhythm Case Reports 2015 1, DOI: ( /j.hrcr ) Copyright © 2015 Heart Rhythm Society Terms and Conditions


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