Extraction of long-indwelling leadless pacemakers via femoral snaring is feasible, with intracardiac echocardiography serving as a potentially useful guide.
May support femoral snaring for Micra extraction in select cases; leaves open standardization and risk stratification.
Key Teaching Points•Extraction of long-indwelling Micra devices (Medtronic, Fridley, MN) is feasible via femoral snaring.•The degree of Micra encapsulation is unpredictable.•Intracardiac echocardiography might guide extraction of leadless devices. •Extraction of long-indwelling Micra devices (Medtronic, Fridley, MN) is feasible via femoral snaring.•The degree of Micra encapsulation is unpredictable.•Intracardiac echocardiography might guide extraction of leadless devices.
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Kiani et al. (2019) studied this question.
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