{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T03:57:43Z","timestamp":1782187063140,"version":"3.54.5"},"reference-count":10,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,8,14]],"date-time":"2023-08-14T00:00:00Z","timestamp":1691971200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Transvenous lead extraction (TLE) is a crucial procedure for managing cardiac implantable electronic devices. The use of a combined superior and femoral approach has been found to enhance the success rate of TLE. This report introduces a novel technique, named \u201cWire ThRoUgh Snare Twice\u201d (Wire TRUST), for effectively grasping a lead without a free end during TLE.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The Wire TRUST technique was applied in a case involving a 49\u2010year\u2010old male patient requiring TLE due to electrical artifact on the right ventricular (RV) lead, replacement of the RV lead, and pacemaker generator exchange. The Wire TRUST technique involved the insertion of a 4\u2010Fr pigtail catheter and a 6\u2010Fr snare catheter through the 14\u2010Fr sheath inserted from the right common femoral vein. The 4\u2010Fr pigtail catheter was hooked to the RV lead under multidirectional fluoroscopic guidance in the right atrium. The 0.014\u2010in. guidewire was advanced through the pigtail catheter, crossing the RV lead until reaching the inferior vena cava. Subsequently, the distal end of the 0.014\u2010in. guidewire was captured using a snare and pulled, facilitating externalization of the guidewire. After externalization, both ends of the 0.014\u2010in. guidewire were passed through the snare outside the body and reinserted into the 14\u2010Fr sheath. By simultaneously advancing and closing the snare while applying tension to the 0.014\u2010in. guidewire, a secure grip on the lead without free ends was achieved.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The Wire TRUST technique enabled successful lead extraction and replacement without any complications. The technique facilitated the co\u2010axial alignment of the powered sheath with the RV lead, ensuring safe and efficient extraction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The Wire TRUST technique presents a novel and effective approach for grasping leads with inaccessible ends during TLE.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.16041","type":"journal-article","created":{"date-parts":[[2023,8,14]],"date-time":"2023-08-14T19:39:51Z","timestamp":1692041991000},"page":"1990-1995","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Wire ThRoUgh Snare Twice (Wire TRUST) technique: A novel method to grasp a lead with inaccessible ends as a supportive femoral approach for transvenous lead extraction"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6364-5725","authenticated-orcid":false,"given":"Yuhei","family":"Kasai","sequence":"first","affiliation":[{"name":"Asia Medical Group, Department of Cardiology, Sapporo CardioVascular Clinic Sapporo Heart Center Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuya","family":"Haraguchi","sequence":"additional","affiliation":[{"name":"Asia Medical Group, Department of Cardiology, Sapporo CardioVascular Clinic Sapporo Heart Center Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7556-1396","authenticated-orcid":false,"given":"Junji","family":"Morita","sequence":"additional","affiliation":[{"name":"Asia Medical Group, Department of Cardiology, Sapporo CardioVascular Clinic Sapporo Heart Center Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takayuki","family":"Kitai","sequence":"additional","affiliation":[{"name":"Asia Medical Group, Department of Cardiology, Sapporo CardioVascular Clinic Sapporo Heart Center Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuya","family":"Okada","sequence":"additional","affiliation":[{"name":"Asia Medical Group, Department of Clinical Engineering, Sapporo CardioVascular Clinic Sapporo Heart Center Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Tamura","sequence":"additional","affiliation":[{"name":"Asia Medical Group, Department of Clinical Engineering, Sapporo CardioVascular Clinic Sapporo Heart Center Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yumetsugu","family":"Munakata","sequence":"additional","affiliation":[{"name":"Asia Medical Group, Department of Clinical Engineering, Sapporo CardioVascular Clinic Sapporo Heart Center Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masanaga","family":"Tsujimoto","sequence":"additional","affiliation":[{"name":"Asia Medical Group, Department of Cardiology, Sapporo CardioVascular Clinic Sapporo Heart Center Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jungo","family":"Kasai","sequence":"additional","affiliation":[{"name":"Paul G. Allen School of Computer Science and Engineering University of Washington Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsutomu","family":"Fujita","sequence":"additional","affiliation":[{"name":"Asia Medical Group, Department of Cardiology, Sapporo CardioVascular Clinic Sapporo Heart Center Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,14]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2017.09.001"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euu378"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-020-00889-6"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/joa3.12593"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2018.05.022"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eus426"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-020-00889-6"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s42155-021-00218-6"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2018.05.022"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/pace.14303"}],"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.16041","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T13:10:02Z","timestamp":1694783402000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jce.16041"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,14]]},"references-count":10,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1111\/jce.16041"],"URL":"https:\/\/doi.org\/10.1111\/jce.16041","archive":["Portico"],"relation":{},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"value":"1045-3873","type":"print"},{"value":"1540-8167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,14]]},"assertion":[{"value":"2023-04-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-07","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}