With the increase of clinical use of cardiac pacemaker, a certain kinds of severe leads-related complications (especially infection) have presented in a few patients who underwent pacemaker implantation. The best way to manage this problem is to remove the transvenous leads.1,2 The technique for percutaneous removal of transvenous leads have undergone considerable development in western countries over the past 2 decades. However, there was scarce data on the application of this technique in China. This article reports the results of transvenous extraction of 171 permanent pacemaker leads with the standard lead extraction devices and intravascular countertraction technique during the period from January 1996 to May 2005 in the Center of Arrhythmia Diagnosis and Treatment, Fu Wai Hospital, Beijing, China.