Key result
Micra leadless pacemaker insertion can cause major right ventricular perforation requiring surgical intervention.
Why the study?
Although Micra leadless pacemakers demonstrated low rates of cardiac perforation in trials and registries, recent reports indicate higher rates of severe complications compared with transvenous devices.
Case Report (n=2)
Highlights the risk of major right ventricular perforation requiring surgical intervention during leadless pacemaker implantation.
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Low perforation rates support cautious leadless pacemaker use in select patients; leaves open long-term safety and broader applicability.
Gulkarov et al. (2024) conducted a case report in Right ventricular perforation (n=2). Micra TM leadless pacemaker insertion was evaluated on Major right ventricular perforation requiring surgical intervention. Micra TM leadless pacemaker insertion resulted in two cases of major right ventricular perforation requiring surgical intervention.
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