{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T11:26:03Z","timestamp":1740137163521,"version":"3.37.3"},"reference-count":11,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,6,6]],"date-time":"2024-06-06T00:00:00Z","timestamp":1717632000000},"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":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Transvenous lead extractions (TLEs) for cardiac implantable electronic device complications often encounter difficulties with strong adhesions to the myocardium or vessels. In this report, we introduce a novel \u201cFour\u2010Stage Rocket\u201d technique for effective TLE in cases where conventional methods fail.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>Two challenging cases where conventional TLE methods failed were treated using a combination of four devices: Needle's Eye Snare, Agilis NxT Steerable Introducer, GlideLight Laser sheath, and GORE\u00ae DrySeal Flex Introducer sheath, employed via the inferior vena cava. The \u201cFour\u2010Stage Rocket\u201d technique successfully detached firmly adhered leads near the tricuspid valve annulus, where the traditional superior vena cava approach was inadequate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The \u201cFour\u2010Stage Rocket\u201d technique offers a potential alternative in complex TLE cases, aligning the laser direction with the adhesion detachment and reducing the tissue damage risk.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.16312","type":"journal-article","created":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T05:11:34Z","timestamp":1717737094000},"page":"1701-1705","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Four\u2010Stage Rocket technique: A novel strategy for lead extractions using laser sheaths from the femoral vein"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3347-6772","authenticated-orcid":false,"given":"Daisuke","family":"Kawano","sequence":"first","affiliation":[{"name":"Department of Cardiology Saitama Medical University, International Medical Center Hidaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5648-8135","authenticated-orcid":false,"given":"Kazuhisa","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Department of Cardiology Saitama Medical University, International Medical Center Hidaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masataka","family":"Narita","sequence":"additional","affiliation":[{"name":"Department of Cardiology Saitama Medical University, International Medical Center Hidaka 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