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