Key result
Simultaneous leadless pacemaker and dialysis catheter placement overcomes access limits in exhausted vasculature.
Why the study?
Limited venous access in patients requiring long-term hemodialysis and those with cardiac implantable electronic device-related infections complicates device placement and vascular access management.
Case Report (n=1)
Leadless pacemakers offer a viable pacing solution for patients with exhausted venous access who simultaneously require hemodialysis catheters.
May enable dual device placement in exhausted access; hypothesis-generating and should not yet alter practice.
The problem with limited venous access may occur in patients receiving long-term hemodialysis treatment with no possibility of arteriovenous access or in patients with cardiac implantable electronic device-related infection leading to the removal of cardiac implantable electronic device. We present a case report where both situations occur simultaneously. Using recent development in cardiac pacing-leadless cardiac pacemaker-we manage to overcome the vascular access problem. The described case emphasizes the necessity of multispecialty collaboration and gains of new pacing technology in patients who need placement of vascular access for hemodialysis and cardiac implantable electronic device where vascular access is scarce.
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Bednarczyk et al. (2019) conducted a case report in Exhausted vasculature requiring hemodialysis and cardiac pacing (n=1). Simultaneous placement of leadless pacemaker and dialysis catheter was evaluated. Simultaneous placement of a leadless pacemaker and a dialysis catheter successfully overcame vascular access limitations in a patient with exhausted vasculature.
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