Figure 3: Schematic drawing of the “Wire TRUST” technique.
- A 4Fr pigtail catheter hooks the targeted lead.
- A 0.014-inch guidewire is inserted into the pigtail catheter, crosses
over the lead, and then passes through the snare.
- The 0.014-inch guidewire retracts into the 14Fr femoral sheath.
- Externalization of the 0.014-inch guidewire.
- Removal of the snare catheter.
- Removal of the pigtail catheter.
- Both ends of the guidewire are passed through the snare outside of the
body and inserted into the 14Fr sheath.
- Advancing and closing the snare while pulling the 0.014-inch guidewire
can hold the lead.