Evidence map›Paper›PMID 41769195›Full record

ArticleArrhythmia & electrophysiology review2026

Preserving Access After Lead Extraction in Venous Stenosis Using Snaring: The Cowboy Bridge Technique.

Elkin González Villegas, Panagiotis Mililis, Jesús Saldaña-García, Alejandra Barreto, José Carlos Romero Carmona, Athanasios Saplaouras, Konstantinos P Letsas, Michael Efremidis, Rafael Peinado Peinado

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In one paragraph

Article in Arrhythmia & electrophysiology review, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Elkin González VillegasCardiac Surgery, University Hospital La Paz Madrid, Spain.ORCID https://orcid.org/0009-0004-4158-8223
Panagiotis MililisArrhythmia Unit, Onassis Hospital Athens, Greece.
Jesús Saldaña-GarcíaCardiology Department, University Hospital La Paz Madrid, Spain.ORCID https://orcid.org/0000-0002-1712-4654
Alejandra BarretoCardiac Surgery, University Hospital La Paz Madrid, Spain.
José Carlos Romero CarmonaCardiac Surgery, University Hospital La Paz Madrid, Spain.
Athanasios SaplaourasArrhythmia Unit, Onassis Hospital Athens, Greece.
Konstantinos P LetsasArrhythmia Unit, Onassis Hospital Athens, Greece.
Michael EfremidisArrhythmia Unit, Onassis Hospital Athens, Greece.
Rafael Peinado PeinadoElectrophysiology Department, University Hospital La Paz Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Maintaining continuous access to the right heart chambers during lead extraction is essential, especially when venous stenosis is present. The Cowboy Bridge technique is a novel and reproducible approach that implies retrograde snaring from a femoral access. We report our results applying this technique in two patients with venous stenosis who required a device upgrade with lead extraction. This procedure facilitates the implantation of new leads by maintaining thorough-and-through access and lowering the risk of perforation compared to anterograde or retrograde attempts to traverse the stenotic site with additional wires or catheters.

Indexed as

case reportcowboy bridgedevice upgradeLead extractionvenous stenosis

Identifiers

PMID41769195
PMCPMC12937075

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.