VH04 - Endovascular Technique for Removal of Knotted Transvenous Pacemaker Lead

Thursday, June 5, 2025

1:57 PM – 2:06 PM CT

Location: Morial CC, Second Floor, Room 208-210

Submitting & Presenting Author(s)

Andrew Lazar, MD

Vascular Fellow
New York University
New York, New York

Co-Author(s)

KT

Katherine Teter
KG

Karan Garg
JL

Joanelle Z. Lugo

New York University Langone Medical Center
New York, New York
Thomas S. Maldonado, MD

Professor of Surgery
New York University Langone Health
New York, New York

Senior Author(s)

WJ

William Johnson

Assistant Clinical Professor
Nyu, New York

Summary: We present a novel technique using an endovascular approach to removing a knotted transvenous pacemaker wire in the right brachiocephalic vein. Through percutaneous access via the upper extremity, balloon dilation was used to loosen the knotted lead and allow it to be untangled around a large sheath and removed without requiring a major open operation. This provides a potential technique for future use as the rates of retained intravascular devices increases.