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We report a case of a 63‐year‐old man referred for lead extraction with the bidirectional rotational Evolution  ®    RL  mechanical sheath because of systemic infection. As it was judged a “high‐risk” procedure, we opted for a “hybrid,” minimally invasive approach consisting in a minithoracotomic access. This technique is a feasible approach, and it might be a potential safer alternative in the most challenging transvenous lead extraction procedures.

journal of arrhythmia

Hybrid minimally invasive technique with the bidirectional rotational Evolution ®  mechanical sheath for transvenous lead extraction: A collaboration between electrophysiologists and cardiac surgeons