Project description:Leadless pacemakers (LPMs) offer an alternative for patients with challenging venous access or device infection history. Management of LPM battery depletion in frail patients presents unique challenges. We present the case of an 81-year-old frail woman with obstructive hypertrophic cardiomyopathy and complete heart block, previously treated with percutaneous transseptal myocardial ablation and a transvenous pacemaker, who received an LPM after device extraction for infection. On battery depletion, a second LPM was implanted but dislodged, thus necessitating extraction attempts. Given the high extraction risks, a third LPM was successfully implanted. This case highlights the feasibility of multiple LPM implantations in complex cardiac patients and demonstrates that a third LPM can be a viable option when extraction risks are high. This approach expands management options for frail patients with complex cardiac histories who are unsuitable candidates for traditional pacing systems.

| S-EPMC11646911 | biostudies-literature

Tricuspid valve complication following leadless pacemaker implantation requiring device extraction.

Project description: Not available

| S-EPMC11781887 | biostudies-literature

Tricuspid regurgitation complicating leadless pacemaker implantation: Surgical intervention for pacemaker removal and tricuspid valve replacement.

Project description: Not available

| S-EPMC11862141 | biostudies-literature

Percutaneous extraction of a leadless Micra pacemaker after dislocation: a case report.

Project description:Leadless pacemaker implantation rates are increasing worldwide. Until now leadless pacemaker dislocation and extraction has been rarely reported. An 83-year-old patient with cardiac amyloidosis, chronic atrial fibrillation, and complete heart block was implanted with a leadless pacemaker (Micra, Medtronic). On the day after implantation, the device showed an exit block and on cardiac echocardiography and cardiac computer tomography, a device dislocation could be detected. During the day, the device moved at least three times between the tricuspid valve and the right ventricular apex. Each time causing non-sustained ventricular tachycardia. At the next day device extraction was scheduled. After 189 minutes of procedure time, it was possible to retrieve the device with the help of two steerable introducers (Agilis) and two snare catheters. Implantable transcatheter leadless pacemakers can be implanted safely most of the time. However, in rare cases device dislocations may occur. Device extraction is possible, but is described as challenging in most published cases 10.1093/ehjcr/ytz113_audio1 ytz113_audio1 6074457264001.

| S-EPMC6764563 | biostudies-literature

Accidental extraction of a lead remnant with a leadless pacemaker delivery system.

Project description: Not available

| S-EPMC11861928 | biostudies-literature

Percutaneous extraction of a leadless Micra pacemaker after dislocation: a case report.

| S-EPMC6764563 | biostudies-literature

Removal of a leadless pacemaker using a 2.5cc syringe and silk thread during surgical treatment of infective endocarditis.

Project description: Not available

| S-EPMC10123944 | biostudies-literature

A case of leadless-to-leadless pacemaker interaction.

Project description: Not available

| S-EPMC10285148 | biostudies-literature