- There are two approaches to perform lead extraction :
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
The femoral approach is used when the subclavian approach is not possible.
- The leads are removed through a small puncture in the groin over the femoral vein.
- 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.
- Your health care team will remove the leads and sheath through the blood vessel.
- In some cases, they also might place new leads at this time.
Watch this video to learn how the procedure is done