Challenging lead extraction with quadripolar active fixation of coronary sinus with severe adhesion

Transvenous extraction failure of a recently implanted active fixation coronary sinus lead: Good or bad times?

“…Finally, we cannot exclude that the removal of an active fixation CS lead should be conducted in specialized centers by operators with significant expertise in this type of procedure, considering the crucial role of complete system removal in case of device infection and potential risks related to abandoned material. Promising new approaches to CS lead extraction, such as the one recently described by Isonaga and colleagues 11 involving a soft-tip guiding catheter, or hybrid approaches may represent viable options. 12 …”