Figure 2:
(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.