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Figure 3 | BMC Research Notes

Figure 3

From: Troubleshooting during a challenging high-risk pacemaker lead extraction: a case report and review of the literature

Figure 3

Illustration of the “lead inverting stitch”. A. Purse-string suture applied around the perforating lead. B. Atrial lead-tip severed with heavy scissors followed by inversion of the remnant atrial lead fragment and surrounding scar beneath the tightened purse-string. Note: the epicardial pacing lead is already in place. C. Cross-section illustration of the severed and inverted atrial lead following tightening of the purse string around the lead (i.e., “lead inverting stitch”).

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