ArticleJACC. Case reports2025
Safe Use of a Drill for Managing Frozen Leads During Pacemaker Replacement.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundFrozen leads are an uncommon complication occurring in 4% to 12.5% of pacemaker replacements. Although the use of drills has been proposed as a solution, no detailed technique has been described to date. CASE SUMMARY: We encountered a case of ventricular lead entrapment during generator replacement 9 years after pacemaker implantation. Conventional methods including silicone plug removal, vibration of the pin plug, and even the application of a bone cutter failed to resolve this issue. The lead was successfully released using a drill without causing any damage. DISCUSSION: Our method involved approaching the header from multiple angles with the drill, enabling safe release of the frozen lead. Innovative drilling techniques are required as the device design evolves. TAKE-HOME MESSAGE: When managing a frozen lead, it is essential to employ the drill with appropriate modifications and technique.
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