ABSTRACT
35 year old patient with Ebstein anomaly and operated atrial septal defect (ASD) was referred to our hospital due toVDD pacemaker lead dysfunction.Wedecided to remove dysfunctional lead via subclavian lead extraction procedure. After pacemaker generator had been removed, lead was cut to insert locking stylet but plucked lead entrapped in subclavian vein. Then 7-F femoral sheath was introduced to femoral vein and plucked lead was pulled back via myocardial biopsy catheter from inferior vena cava. Finally macro snare was used to taken out lead from femoral vein. The procedure was successfully managed without complication.
Keywords: Percutaneous lead extraction Femoral vein Snare Biopsy catheter