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We reported a challenging transvenous lead extraction procedure for lead failure in a child with congenital heart disease. Our report demonstrates that the new hand‐powered bidirectional rotational Evolution  RL  (Cook Medical,  USA ) mechanical extraction sheath is an effective and safe tool for the extraction of chronically implanted leads in children.

Effective and safe lead extraction using the bidirectional rotational Evolution ® sheath in a child with congenital heart disease