Pacemaker lead extractors must become familiar with transfemoral approaches for lead extraction as a bail-out procedure for a failed superior approach. We presented a "tetra-axial" system for transfemoral lead extraction. This system would be more widely applicable in cases with difficulties in extraction, resulting in more procedural success.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5458036PMC
http://dx.doi.org/10.1002/ccr3.983DOI Listing

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