Lead Extraction and Re-Extractions - Inherent Parts of Permanent Pacing in Children and Young Adults

Children require often replacement of leads even several times. Repeated extraction in this group nay be challenging. We report the case a 22-year-old man with first pacemaker implanted year life, after Transvenous Lead Extraction procedure (TLE) and implantation dual-chamber age 12 years, who was admitted to reference center for repeated TLE replace entire pacing system. The presence complete venous occlusion, lead strain strong lead-to-lead adherence calcified connecting tissue scar effected complicity needed utility numerous tools atypical technique tricks among them simultaneous strongly connected each one together via tool showed crucial.