Bridge Occlusion Balloon in Lead Extraction Procedure

This study will evaluate the use of an occlusion balloon (Bridge™ Occlusion Balloon,
Spectranetics) within the Superior Vena Cava in lead extraction patients. This will be
performed in a non-emergent setting to allow for evaluation of how best to integrate this new
technology into the investigators clinical practice. The study will focus on the effect of
the Bridge balloon on the patient preparation clinical workflow, ease of
insertion/positioning/deployment, and the ability to recognize proper inflation and vein
sealing under fluoroscopy. Understanding these factors will help build a more robust clinical
workflow with the goal of better patient outcomes in the case of an Superior Vena Cava
injury. The images and data generated during this study can help in dissemination of the
practical use knowledge to fellow lead extractors.

Inclusion Criteria:

- Subject age more than 18 years

- Lead extraction patients

Exclusion Criteria:

Lead extraction patients with:

- Superior Vena Cava occlusion or stenosis.

- Significant vegetation.

- Hemodynamic instability.

- Class IV heart failure

- Creatinine > 2.0mg/dL

- Patients > 85 years old