(A) A 4Fr pigtail catheter hooked the ventricular lead under
multidirectional fluoroscopic guidance.
(B) The ONE Snare was inserted into the IVC and opened in advance.
(C) The distal end of the 0.014-inch guidewire was passed through the
ONE Snare and then retracted into the 14Fr femoral sheath.
(D) After 0.014-inch guidewire externalization, both ends of the
guidewire were passed through the snare, and the snare was reinserted
into the 14Fr sheath.
(E) The snare was opened and then advanced towards the vicinity of the
lead.
(F) Simultaneously advancing and closing the snare while tensioning the
guidewire enabled grabbing the lead without a free end.
(G) A 14Fr GlideLight laser sheath was advanced while grasping the lead
by the Wire TRUST technique.
(H) The RV lead was successfully extracted using the 14Fr GlideLight
laser sheath.
(I) A new RV lead was inserted.
(J) The extracted ventricular lead is shown. Fibrotic tissue and dense
calcifications can be seen on the extracted lead.
The 0.014-inch guidewire used for the Wire TRUST technique.