- Lead extraction can be done in one of two ways:
1. Subclavian Approach
It is the most frequently used approach. The leads are removed through an incision in the upper chest over the subclavian vein.
2. Femoral Approach
When the subclavian route is not possible, the femoral technique is employed.
- A tiny puncture in the groyne over the femoral vein is used to remove the leads.
- A special sheath is placed in the vein. This sheath is threaded over the lead and guided to the tip of the lead.
- A laser light or mechanical drill-like tip can be attached to the sheath to break the scar tissue.
- The leads and sheath will be removed through the blood vessel by your medical personnel.
- They might even place new leads at this time in select conditions.
Watch this video to learn how the procedure is done
Reference - Lead Extraction. (n.d.). Retrieved from https://my.clevelandclinic.org/health/treatments/17165-lead-extraction