Key result
Preventive strategy successfully retrieves a dislodged atrial leadless pacemaker from the left iliac vein.
This case highlights a rare extracardiac complication of atrial leadless pacemakers and demonstrates a successful retrieval strategy.
Alerts clinicians to venous anatomy risks during leadless pacemaker implantation; extends sparse case evidence on retrieval techniques.
A rare extracardiac complication in which a dislodged atrial leadless pacemaker migrated retrogradely to the left common iliac vein. This case highlights the role of venous anatomy in implantation difficulty and demonstrates successful device retrieval using a preventive strategy.
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Goto et al. (2026) studied this question. A dislodged atrial leadless pacemaker that migrated retrogradely to the left common iliac vein was successfully retrieved using a preventive strategy.
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