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Article Abstract
Background: Frozen leads are an uncommon complication occurring in 4% to 12.5% of pacemaker replacements. Although the use of drills has been proposed as a solution, no detailed technique has been described to date.
Case Summary: We encountered a case of ventricular lead entrapment during generator replacement 9 years after pacemaker implantation. Conventional methods including silicone plug removal, vibration of the pin plug, and even the application of a bone cutter failed to resolve this issue. The lead was successfully released using a drill without causing any damage.
Discussion: Our method involved approaching the header from multiple angles with the drill, enabling safe release of the frozen lead. Innovative drilling techniques are required as the device design evolves.
Take-home Message: When managing a frozen lead, it is essential to employ the drill with appropriate modifications and technique.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12402363 | PMC |
| http://dx.doi.org/10.1016/j.jaccas.2025.104815 | DOI Listing |
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