# Case Report: Enhancing lead extraction techniques: a novel approach using a loop formed by an ablation catheter and a gooseneck snare

## TL;DR

A new technique using a catheter and snare loop successfully extracted a very old medical lead that had been implanted for over 30 years.

## Contribution

A novel loop-based technique combining an ablation catheter and gooseneck snare is introduced for challenging lead extractions.

## Key findings

- A 30+ year-old lead was successfully extracted using a loop formed by an ablation catheter and gooseneck snare.
- The catheter was rotated to remove lead-bound sites during extraction.
- The Needle's Eye Snare was used to complete the retrieval process.

## Abstract

The difficulty and complexity of lead extraction procedures increase with the age of the lead to be extracted. The extraction of old (>20 years) leads is more time-consuming and requires advanced tools and a complex technique. In this case, we retrieved a very old (>30 years) lead using a loop formed by a catheter and a gooseneck snare. The catheter was rotated to remove the lead-bound sites. The lead was successfully retrieved using a Needle's Eye Snare.