Key result
Extraction of 15-year-old pacemaker leads using the weight and pulley method was performed successfully without any complications in an 81-year-old man.
Why the study?
Extraction of old pacemaker leads remains complex due to fibrotic encapsulation and lead adhesions.
Case Report (n=1)
The weight and pulley method can be a safe and effective alternative for extracting chronically implanted pacemaker leads when patients refuse surgery or advanced extraction tools are unavailable.
May support weight-and-pulley extraction when tools unavailable; hypothesis-generating and should not yet change practice.
Extraction of old pacemaker leads remains a complex procedure owing to fibrotic encapsulation and lead adhesions. We report a case of extraction of 15-year-old pacemaker leads by weight and pulley method. A 81-year-old man presented with exposed pacemaker leads out of body with purulent discharge from a pacemaker insertion site. He inserted DDD (dual chamber pacing, dual chamber sensing dual function) pacemaker implantation 15 years ago for SSS. Previously pacemaker battery was removed 3 years ago due to recurrent infection of pacemaker scar site. We extracted the pacemaker leads by weight and pulley method successfully without any complications.
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Kim et al. (2018) conducted a case report in Exposed pacemaker leads with purulent discharge (n=1). Weight and pulley method for lead extraction was evaluated on Successful extraction without complications. Extraction of 15-year-old pacemaker leads using the weight and pulley method was performed successfully without any complications in an 81-year-old man.
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