As the number of implanted pacemaker increases the incidence of complications also increase; this problem leads to a growing need for pacemaker and lead extraction. The most common indication for pacemaker lead extraction is localized or systemic infection. Advances in technology enabled the use of new tools and methods that increase the effectiveness and reduce the risk of serious intra and post-procedural complications.

At the Department for Arrhythmia and Electrical Stimulation at the University Hospital Centre Rijeka in early 2013, a pacemaker lead extraction program was started. (1) So far there were a total of 45 procedures, 78 leads were removed, of which five were defibrillator leads. The most common cause of lead extraction was a localized infection of the pacemaker pocket or a decubitus of the skin. The predominant extraction technique was the use of dilatation sheaths, while the use of traction and locking stylet was less common. The most significant complication was the development of symptomatic pericardial effusion. There were no fatal outcomes.