Key result
Surgical epicardial leadless pacemaker placement shows feasible atrial delivery and stable parameters at 3 months.
Why the study?
A leadless pacemaker implantation on the epicardial right atrial appendage was performed due to rare pocket complications after classic dual-chamber pacemaker implantation in a patient with Sick Sinus Node syndrome and atrial fibrillation.
Case Report (n=1)
May offer pacing alternative for pocket complications in surgical patients; hypothesis-generating and requires prospective validation before wider use.
A 33-year-old woman with Sick Sinus Node syndrome and persistent atrial fibrillation underwent a Maze IV procedure in order treat atrial fibrillation and concomitant atrial epicardial implantation of a leadless pacemaker to manage her sinus node insufficiency. Last option has been chosen due to rare pocket complication after previous classic dual-chamber pacemaker implantation.
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Eltsov et al. (2022) conducted a case report in Sick Sinus Node syndrome, persistent atrial fibrillation, and device-mediated dermatitis (n=1). Epicardial implantation of a leadless pacemaker on the right atrial appendage was evaluated on Device electrical parameters and dislodgment at 3 months. Epicardial implantation of a leadless pacemaker on the right atrial appendage during concomitant cardiac surgery was feasible and showed stable electrical parameters without dislodgment at 3 months.
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