Cardiac implantable electronic device infections often necessitate extraction, which can be complicated by calcified adhesions, leading to increased procedural risk and reduced efficacy. This report presents the first reported case where shockwave intravascular lithotripsy (IVL) was successfully employed to extract a severely calcified lead system after an initial extraction attempt failed due to extensive calcification. Despite prior findings suggesting no significant difference in clinical success rates with IVL, this case demonstrates IVL’s effectiveness in overcoming challenging calcified adhesions, advocating for further research to optimize its use in complex lead extractions.