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Preserving Access After Lead Extraction in Venous Stenosis Using Snaring: The Cowboy Bridge Technique
Elkin González Villegas1, Panagiotis Mililis2, Jesús Saldaña-García3
1Cardiac Surgery, University Hospital La Paz Madrid, Spain.
Arrhythmia & Electrophysiology Review
|March 2, 2026
Summary
The Cowboy Bridge technique offers a novel solution for maintaining right heart access during lead extraction, especially with venous stenosis. This method improves safety and facilitates new lead implantation by preventing complications associated with traditional approaches.
Area of Science:
- Cardiology
- Medical Devices
- Interventional Procedures
Background:
- Maintaining access to right heart chambers is crucial during lead extraction, particularly when venous stenosis complicates the procedure.
- Venous stenosis poses significant challenges for transvenous lead extraction and subsequent device upgrades.
- Existing methods for navigating stenotic venous segments can increase the risk of complications like perforation.
