Abstract
We introduce a fast and easy method of successfully grasping a lead
without a free end called the “Wire ThRoUgh Snare Twice (Wire TRUST)”
technique in a 49-year-old male patient who required transvenous lead
extraction (TLE) and lead replacement due to lead malfunction. Our
proposed technique is less difficult than using the Needle’s eye snare
because the pigtail catheter is softer and has better operability. The
Wire TRUST technique promptly allows a combined superior and femoral
approach for TLE, even when the lead tip is difficult to free because of
severe adhesion.
Keywords: transvenous lead extraction, 0.014-inch guidewire,
pigtail catheter, lead with inaccessible ends, supportive femoral
approach, Needle’s eye snare