Implantation of a Leadless Pacemaker after Incomplete Transvenous Lead Extraction in a 90-Year-Old Pacemaker-Dependent Patient
Bibliographic Data
| ID | 15474530 |
|---|---|
| Authors | Gerald Drożdż (0000-0001-8986-3598, Kantonsspital Graubünden, corresponding author), Bruno Hrymniak (0000-0002-5093-4085), Bartosz Biel, Przemysław Skoczyński (0000-0002-4998-8879, Wroclaw Medical University), Wiktoria Drożdż (0000-0002-0334-6651, Kantonsspital Graubünden), Dorota Zyśko (0000-0001-9190-0052, Wroclaw Medical University), Waldemar Banasiak (0000-0003-0702-7508), Dariusz Jagielski (0000-0002-3066-4030) |
| Language | EN |
Transluminal lead extraction (TLE) is a well-established procedure for the removal of damaged or infected pacing systems. Despite its high efficacy, the procedure is associated with significant risks, some of which may contribute to severe life-threatening complications. Herein, we present the case of a 90-year-old female who was 100% pacemaker-dependent (PM-dependent) and had ventricular lead fragmentation after the TLE procedure. In this elderly patient, after taking into account the whole clinical context-age, frailty syndrome, infection, and high peri- and postprocedural risks-we decided on MICRA VR implantation as well as leaving the remains of the ventricular lead in the right heart chambers. A Leadless pacemaker (LP) is an excellent alternative to PM-dependent individuals, in whom implantation of permanent transvenous PM is precluded due to multiple infectious and non-infectious issues
Artificial cardiac pacemaker · Cardiac pacemaker · Cardiology · Context (archaeology · Lead (geology · Permanent pacemaker · Cardiac pacing and defibrillation studies · Electronic Packaging and Soldering Technologies · Electrostatic Discharge in Electronics · Medicine · Internal Medicine · Surgery
| Highly cited | No |
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