case_images: PMC11757299_01
case_images: (A) ECG, (B) repeated battery shocking, (C) microfracture.
case_images: fcvm-11-1464620-g001.jpg
case_images: PMC11757299_01_fcvm-11-1464620-g001.jpg
case_images: F1
case_images: No abnormal condition was detected in the patient's electrocardiography (ECG) (Figure 1A). The battery measurements showed that the patient received frequent shocks (Figure 1B). In repeated measurements, a microfracture was detected in the right ventricular lead (Figure 1C).
case_images: (A)   Broken CS lead, (B) capturing the CS lead with a pigtail catheter, (C,D) turning the pigtail catheter clockwise and wrapping it around the lead.
case_images: fcvm-11-1464620-g002.jpg
case_images: PMC11757299_01_fcvm-11-1464620-g002.jpg
case_images: F2
case_images: Subsequently, the coronary sinus (CS) lead broke off. (Figure 2A). The tip of the catheter caught the lead, (Figure 2B) it was turned clockwise and wrapped around the catheter in a spiral shape (Figure 2C). By applying a downward pulling force, it was seen that the CS lead was coming (Figure 2D).
case_images: (A) Withdrawing the coiled lead, (B) capturing the lead separated from the pigtail with a snare, (C) completely removing the ventricle and CS lead, (D) reimplantation.
case_images: fcvm-11-1464620-g003.jpg
case_images: PMC11757299_01_fcvm-11-1464620-g003.jpg
case_images: F3
case_images: The lead was withdrawn up to the femoral sheath (Figure 3A). The lead was captured and removed by sending a snare through the sheath (Figure 3B). The procedure was terminated by reinserting the ventricle and coronary sinus lead (Figures 3C,D).