Why the study?
The Micra leadless pacemaker is standardly deployed via femoral access, requiring alternative approaches when femoral access is unavailable.
Is implantation of a leadless pacemaker via a left subclavian vein approach feasible in a patient with occluded lower limb veins?
Is implantation of a leadless pacemaker via a left subclavian vein approach feasible in a patient with occluded lower limb veins?
Demonstrates the feasibility of an alternative left subclavian vein approach for leadless pacemaker implantation when standard femoral access is unavailable.
Left subclavian Micra implantation may be feasible when femoral access is unavailable; leaves open need for safety and outcome data.
The Micra leadless pacemaker (Medtronic, Minneapolis, MN) is a ventricular pacing system that is deployed via the femoral vein in standard practice. There have been instances of device deployment via the right internal jugular vein when femoral vein access is unavailable. We present the feasibility of implantation via a left subclavian vein approach, in a patient with occluded/atretic lower limb veins who required dual-chamber pacemaker extraction.
No takes yet. Share an insight, caveat, or question.
Kita et al. (2020) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: