Step 5: Harvest the Wires
After creation of an appropriately sized pocket, the J-wires must be
dissected out at the pre-pectoral fascia layer. The operator must first
palpate where the wires are under the superior lip of the pocket, and
then using Metzenbaum scissors with opening motions, bluntly dissect
away the tissue until the metal wires can be clearly visualized. Then
the closed Metzenbaum scissors can be inserted behind the wires to help
backstop the wires as their back ends are fed into the pocket to harvest
them. Now that the wires are harvested, the operator can proceed with
the rest of the CIED implant per normal protocol starting with insertion
of the first peel-away sheath (Video 5).