Extraction of 6-year-old leadless pacemaker (MICRA) using commercially available removal tools- case report.

In recent years, the number of patients with implanted leadless pacemaker has increased significantly. Due to the small size of the device, low risk of infection, indications for removal are rare. The dwell time is correlated with extraction difficulty. Although the MICRA TPS contains retrieval feature at the proximal part of the device, the manufacturer (Medtronic) does not offer tools dedicated to this procedure. Complete encapsulation of the device may also make removal difficult or even impossible. We present the case of a patient in whom MICRA TPS was successfully removed 70 months after implantation with non-dedicated commercially available tools.