title: Unusual extraction of an active fixation ventricular pacing lead with outer coil fracture in a child.
abstract: OBJECTIVE
  In this report we describe an asymptomatic paced child with outer coil fracture of the bipolar screw-in steroid eluting ventricular lead without insulation defect, loss of ventricular capture and unexpected increase in lead impedance in the bipolar VVIR pace configuration.
  
  
  RESULTS
  A previously unpublished method was performed to retract the helix and the lead. As a result, the fractured lead was successfully retrieved.
  
  
  CONCLUSIONS
  We suggest that, this unusual extraction method can be tried as an alternative approach in the removal of an active fixation ventricular pacing lead with impaired mechanical function possibly due to fracture.
authors.affiliation: Paediatric Cardiology Unit, Hacettepe University Faculty of Medicine, Sihhiye, Ankara 06100, Turkey.
authors.forename: T
authors.initials: T
authors.lastname: Karagoz
authors.forename: A
authors.initials: A
authors.lastname: Celiker
authors.forename: O
authors.initials: O
authors.lastname: Hallioglu
authors.forename: S
authors.initials: S
authors.lastname: Ozme
mesh_terms: D002675:Child, Preschool; D020878:Device Removal / Q000379:methods*; D004567:Electrodes, Implanted; D004868:Equipment Failure; D005260:Female; D006327:Heart Block / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000628:therapy*; D006801:Humans; D010138:Pacemaker, Artificial; D011859:Radiography