How is a lead explanted?

Fasten your seatbelts. This is a long one, but we'll try to make it quick.A lead extraction can be performed through either the subclavian vein in the upper chest, or through the femoral vein (groin area) if the subclavian approach isn't possible.An incision (subclavian) or small puncture (femoral vein) is made in the skin. A plastic and hollow tube called a sheath is inserted into the vein and guided to the tip of the lead. The sheath helps hold the heart muscle in place while the lead is removed.An electrosurgical laser is then used to remove scar tissue from the leads just before they are pulled out.People are usually in a light sleep for this procedure and may feel the leads as they are being pulled out, but it shouldn't be painful.