| Title: |
Preserving Access After Lead Extraction in Venous Stenosis Using Snaring: The Cowboy Bridge Technique |
| Authors: |
Villegas, Elkin González; Mililis, Panagiotis; Saldaña-García, Jesús; Barreto, Alejandra; Carmona, José Carlos Romero; Saplaouras, Athanasios; Letsas, Konstantinos P; Efremidis, Michael; Peinado, Rafael Peinado |
| Source: |
Arrhythmia & Electrophysiology Review ; ISSN 2050-3369 2050-3377 |
| Publisher Information: |
Radcliffe Medical Media Ltd |
| Publication Year: |
2026 |
| Description: |
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. |
| Document Type: |
article in journal/newspaper |
| Language: |
unknown |
| DOI: |
10.15420/aer.2025.57 |
| Availability: |
https://doi.org/10.15420/aer.2025.57; https://www.aerjournal.com/articleindex/aer.2025.57 |
| Rights: |
https://creativecommons.org/licenses/by-nc/4.0/legalcode |
| Accession Number: |
edsbas.A7478D58 |
| Database: |
BASE |