Extraction of a dislocated leadless pacemaker in a patient with infective endocarditis and repeated endocardial and epicardial pacing system infections.
Micra
dislocation
extraction
gooseneck snare
leadless
pacemaker
Journal
Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia
ISSN: 1804-7521
Titre abrégé: Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub
Pays: Czech Republic
ID NLM: 101140142
Informations de publication
Date de publication:
Feb 2019
Feb 2019
Historique:
received:
02
01
2018
accepted:
13
04
2018
pubmed:
26
5
2018
medline:
3
9
2019
entrez:
26
5
2018
Statut:
ppublish
Résumé
Leadless pacemakers (PMs) were recently introduced to address the complication rate of standard PMs with transvenous leads. A 34-year old male with a history of intravenous substance abuse and a chronic type C hepatitis developed a complete atrioventricular block after cardiac surgery for infective endocarditis. Repeatedly, endo- and epi-cardially implanted PMs had to be explanted due to infection. A leadless MICRA pacemaker was successfully implanted with a dislocation into pulmonary artery several days after implantation. The PM was successfully retrieved using a single-loop retrieval snare guided by a steerable sheath. Subsequently, another Micra PM was successfully implanted with no further issues. In the case of a Micra leadless pacemaker dislocation, a conventional gooseneck snare in combination with a steerable sheath can be used to retrieve the device, improving the overall safety of leadless pacemakers.
Sections du résumé
BACKGROUND
BACKGROUND
Leadless pacemakers (PMs) were recently introduced to address the complication rate of standard PMs with transvenous leads.
METHODS AND RESULTS
RESULTS
A 34-year old male with a history of intravenous substance abuse and a chronic type C hepatitis developed a complete atrioventricular block after cardiac surgery for infective endocarditis. Repeatedly, endo- and epi-cardially implanted PMs had to be explanted due to infection. A leadless MICRA pacemaker was successfully implanted with a dislocation into pulmonary artery several days after implantation. The PM was successfully retrieved using a single-loop retrieval snare guided by a steerable sheath. Subsequently, another Micra PM was successfully implanted with no further issues.
CONCLUSION
CONCLUSIONS
In the case of a Micra leadless pacemaker dislocation, a conventional gooseneck snare in combination with a steerable sheath can be used to retrieve the device, improving the overall safety of leadless pacemakers.
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM