A league of physicians at the Eleventh Annual Lead Management Symposium in Miami, Florida developed an expert opinion and federated agreement on a best practice protocol for Bridge™ Occlusion Balloon (Bridge) deployment for patients undergoing transvenous cardiac implantable electronic devices (CIED) lead extraction based on early clinical experience with the balloon. Injury to the superior vena cava (SVC) is a rare, but a serious complication of transvenous lead extraction. Bridge is designed to provide temporary endovascular occlusion of the SVC. Pre-procedural preparation is recommended in all lead extraction patients with a Bridge compatible stiff guide wire and introducer sheath placement. The balloon should be immediately deployed when there is a suspicion of a tear, evidence of cardiac tamponade, or a hemothorax. The operating team should be familiar with the clinical workflow and the physician familiar with the operation and deployment of the balloon including prophylactic placement as warranted. This best practice protocol aims to increase awareness and readiness to facilitate the rapid, consistent, and safe use of Bridge to reduce mortality in lead extraction patients.