title: Complex percutaneous extraction of a 15-year-old atrial lead dislodged into the subclavian vein.
abstract: We present a case of a 50-year-old patient with DDD pacing failure who underwent atrial lead extraction. The lead was implanted 15 years ago, and 4 months ago it dislodged into the subclavian vein following a fracture. The lead was removed via the femoral vein approach using a Cook Medical device (Byrd Femoral Workstation, Dotter basket) and pigtail catheter.
authors.affiliation: Department of Electrocardiology, Institute of Cardiology, John Paul II Hospital,  Collegium Medicum , Jagiellonian University, Krakow, Poland.
authors.forename: Jacek
authors.initials: J
authors.lastname: Lelakowski
authors.forename: Andrzej
authors.initials: A
authors.lastname: Kutarski
authors.forename: Barbara
authors.initials: B
authors.lastname: Małecka
authors.forename: Jacek
authors.initials: J
authors.lastname: Majewski