Leadless Pacemaker Pitfalls

Figures

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  Figure 1. Admission ECG Electrocardiography on admission demonstrating normal sinus rhythm.

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  Figure 2. Post-Procedure CXR Following LP Placement Chest x-ray scan showing dislodgment of the leadless pacemaker in the left pulmonary artery.

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  Figure 3. Intraprocedural Fluoroscopy During LP Retrieval Initial positioning of the leadless pacemaker (LP) in the left pulmonary artery (top). Successful repositioning of the LP to overcome nitinol tines getting stuck at the pulmonary valve and the subsequent extraction of the device using the delivery sheath (bottom).

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  Figure 4. Successful Retrieval of a Leadless Pacemaker Using a Snare at the Distal End Successful retrieval of the device by snaring it at the distal end.

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  Figure 5. Echocardiogram Obtained 4 Months After Initial Device Deployment Echocardiogram showing a large echo density within the pericardial space, causing compression of the right ventricular free wall.

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  Figure 6. CT Scan of the Chest 4 Months Following Device Deployment Computed tomography scan of the chest revealed a right ventricular apical pseudoaneurysm adjacent to the interventricular septum, protruding anterosuperiorly and measuring 2.2 × 2.2 × 1.8 cm, with the neck of the defect measuring 10 mm.