Key result
Leadless pacemaker implantation succeeds in a patient with transvenous malfunction and unfavorable venous anatomy.
Why the study?
Device extraction and replacement are challenging procedures, particularly in cases of infections, fragile or older patients, or unfavorable venous anatomy.
Case Report (n=1)
Leadless pacemakers can be a viable alternative strategy for patients with challenging venous anatomy or multiple previous device extractions.
Leadless pacemaker (LPs) is a safe device and the implantation rates of this device is increasing. The device extraction and replacement are today a challenging procedures especially in case of infections, fragile and older patients or in unfavorable venous anatomy; LPs can be a valid alternative strategy in these cases. We report a case of management of a patient with multiple previous device replacements and extractions, with malfunction of transvenous pacemaker and with a fibrous membrane between the walls of the ventricular lead and the superior vena cava (SVC), who underwent a successful LP implantation.
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Coppola et al. (2022) conducted a case report in Pacemaker malfunction with multiple previous replacements and extractions (n=1). Leadless pacemaker implantation was evaluated on Successful implantation. Leadless pacemaker implantation was successfully performed in a patient with multiple previous device replacements, transvenous pacemaker malfunction, and unfavorable venous anatomy.
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