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What is lead extraction. The pulse generator is a small computer with electric circuits and a. Pacing And Icd Lead Extraction Conditions And Treatments Children S National Cardiac leads are the conductor wires that connect the pacemaker to the heart. Is pacemaker lead extraction dangerous . Special tools are used to anchor the lead using the narrow channel within the lead called the lumen. The pulse generator is a small computer. In nearly all cases infection of the pacemaker and ICD and the lead system cannot be treated with antibiotics alone and requires lead extraction as well as removal of the pacemaker or ICD. Countertraction another intravascular technique for extraction of pacemaker leads in the early 1990s together with the outer sheaths was used to disrupt fibrotic attachments and remove the lead. Both these devices have 2 main components. The pulse generator and the leads. A pulse generator and a set of leads. Pacemakers can help treat slow heart rhythms