Late migration of an abandoned pacing lead is a rare but potentially lethal complication that can be successfully managed with percutaneous extraction using a snare catheter.
Percutaneous snare extraction may be feasible for migrated abandoned leads; single case leaves open safety, efficacy, and generalizability.
Abandoning redundant pacing leads has been an accepted practice in most cases. Late migration of a lead is a rare, unpredictable, and potentially lethal complication of this approach and requires immediate removal. We report the case of an atrial pacing lead that had migrated and was found coiled in the right atrium. It was removed by a snare catheter via a femoral approach.
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Lickfett et al. (1999) studied this question.
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