[Complicated case of endovascular defibrilator lead extraction]

Since the last decade, the use of external pacing systems became very popular and this means more frequent need for lead extraction or exchange. The extraction of "old", indwelling pacemaker or defibrillator leads is a standard procedure, done in many electrophysiology labs using many modern techniques. However, when a lead is torn off, and stays intravenous --its extraction is difficult. First, it must be caught endovascular, withdrawn out of a body and then extracted. Below, we present the case of successful extraction of torn off lead in a 25-year-old male by means of interventional radiology endovascular techniques.