Leadless pacemaker implantation was successfully performed in a patient with multiple previous device replacements, transvenous pacemaker malfunction, and unfavorable venous anatomy.
Case Report (n=1)
Leadless pacemakers can be a viable alternative strategy for patients with challenging venous anatomy or multiple previous device extractions.
Leadless pacemaker (LPs) is a safe device and the implantation rates of this device is increasing. The device extraction and replacement are today a challenging procedures especially in case of infections, fragile and older patients or in unfavorable venous anatomy; LPs can be a valid alternative strategy in these cases. We report a case of management of a patient with multiple previous device replacements and extractions, with malfunction of transvenous pacemaker and with a fibrous membrane between the walls of the ventricular lead and the superior vena cava (SVC), who underwent a successful LP implantation.
Coppola et al. (Fri,) conducted a case report in Pacemaker malfunction with multiple previous replacements and extractions (n=1). Leadless pacemaker implantation was evaluated on Successful implantation. Leadless pacemaker implantation was successfully performed in a patient with multiple previous device replacements, transvenous pacemaker malfunction, and unfavorable venous anatomy.