Why the study?
With expanding leadless cardiac pacemaker volumes, more devices may require removal, but little is known about the safety and feasibility of extracting the Micra LCP with dwell times greater than 1 year using currently limited extraction tools.
Extraction of a leadless pacemaker with a dwell time greater than 1 year may be feasible using extraction tools from competing manufacturers.
May inform select extractions beyond 1 year; leaves open need for dedicated tools, safety data, and prospective validation.
Key Teaching Points•Leadless cardiac pacemaker volumes are expanding and may continue to grow as capabilities grow. With expanding implant volumes, more of these devices may require extraction.•Little is known about the safety and feasibility of extraction of the Micra LCP with dwell times greater than 1 year.•Currently available extraction tools are limited, but use of tools across competing manufacturers, where able, may help expand options. •Leadless cardiac pacemaker volumes are expanding and may continue to grow as capabilities grow. With expanding implant volumes, more of these devices may require extraction.•Little is known about the safety and feasibility of extraction of the Micra LCP with dwell times greater than 1 year.•Currently available extraction tools are limited, but use of tools across competing manufacturers, where able, may help expand options.
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Callahan et al. (2023) studied this question.
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