Gooseneck Snare via Subclavian Approach as Salvage for Snowplowing During Transvenous Lead Extraction

Case Report

Volume 2, Issue 2

Gooseneck Snare via Subclavian Approach as Salvage for Snowplowing During Transvenous Lead Extraction

Olivia Schoelles¹ and Grant V. Chow^2*

¹Bowling Green State University, Bowling Green, OH, USA

²Heart and Vascular Institute, Genesis Healthcare System, Zanesville, OH, USA

^*Corresponding author: Grant V. Chow, Genesis Heart and Vascular Institute, 955 Bethesda Drive, Zanesville, OH, USA.

Received: October 17, 2022; Accepted: November 01, 2022; Published: November 15, 2022

Citation: Schoelles O, Chow GV. Gooseneck Snare via Subclavian Approach as Salvage for Snowplowing During Transvenous Lead Extraction. Case Rep Clin Cardiol J. 2022; 2(2): 113.

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Gooseneck Snare via Subclavian Approach as Salvage for Snowplowing During Transvenous Lead Extraction

Abstract

Abstract A common challenge in transvenous lead extraction is the phenomenon of “snowplowing” -- when the insulation and conductors of a target lead are disrupted and compressed during traction /counter-traction, hampering forward progress of an extraction sheath. This may arise when the co-axial relationship between the lead and extraction sheath cannot be maintained due to fibrosis, calcification, or angulation of vasculature. We present a case with use of a gooseneck snare via subclavian vein as salvage in this situation.

Keywords: Gooseneck snare; Insulation breach; Mechanical rotating dilator sheath; Laser lead extraction

Article Details

Gooseneck Snare via Subclavian Approach as Salvage for Snowplowing During Transvenous Lead Extraction