Key result
Femoral Micra-AV implantation enables successful pacing despite complete central venous occlusion.
Why the study?
Abnormal central venous anatomy can obstruct cardiac-device implantation, presenting challenges for conventional transvenous pacing.
Population
One 54-year-old patient with complete heart-block and central venous occlusion
Comparison
Leadless Micra-AV pacemaker via femoral vein after failed conventional lead placement
Design
Case report
Authors
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Bilateral brachiocephalic attenuation may block standard CRT leads; leaves open need for alternative access strategies in anomalous anatomy.
Case Report (n=1)
Leadless pacing via the femoral vein provides a safe and effective alternative for patients requiring cardiac pacing who have central venous occlusion.
Baudry et al. (2025) conducted a case report in Complete heart-block and complete central venous occlusion (n=1). Leadless Micra-AV-pacemaker was evaluated on Successful implantation and clinical recovery. Leadless Micra-AV-pacemaker was successfully implanted via the femoral vein in a patient with complete central venous occlusion, resulting in good clinical recovery.
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