Pitfalls and tips for lumenless lead extraction inserted deep within the ventricular septum

Abstract

Key Clinical Message This case highlights the pitfalls and provides tips for the extraction of deeply implanted lumenless leads, and encourages careful lead selection in the current era of widespread left bundle branch area pacing. Abstract The extraction of cardiovascular implantable electronic device leads is sometimes complicated. We describe a case with difficult but successful extraction of SelectSecure, a lumenless permanent pacemaker lead, implanted deep in the ventricular septum, highlighting its pitfalls and tips in the current era of left bundle branch area pacing.

Keywords

• lead extraction
• left bundle branch area pacing
• lumenless pacemaker lead
• rotation dilator sheath
• ventricular septum