With expanded pacing and defibrillator implantations, observed complications have increased in parallel. The occurrence of more frequent device system revisions for complications, system upgrades, lead malfunction and longer patient life expectancies have led that clinicians increasingly are faced with the challenging choice of extraction or abandonment of sterile, superfluous leads. Unfortunately, over time, the old leads increasingly grow into the heart tissue or binding to other resulting in increased difficulty, risk and time of the extraction procedure, what is demonstrated at the following case.