Bailout Technique for a Detached Distal Tip of a Tissue-Stabilization Sheath During Transvenous Lead Extraction

April 1, 2026JACC Case ReportsOpen Access

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Key Points

The aim is to evaluate the effectiveness of a balloon-assisted pull-through technique for retrieving a detached distal tip of a tissue-stabilization sheath.
Utilization of the balloon-assisted pull-through technique
Focus on cases with distal ring detachment
Application during transvenous lead extraction procedures.
Demonstrates successful retrieval of the sheath tip
Indicates reliability of the technique in such cases
Suggests improved outcomes in transvenous lead extraction.

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This technique reports successful retrieval of detached sheath tips in lead extraction procedures, suggesting an effective intervention.

The balloon-assisted pull-through technique is a useful retrieval strategy in cases of distal ring detachment of the Evolution Steady Sheath.

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Ishii et al. (2026) studied this question.

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