Retrieval and replacement of a helix-fixation leadless pacemaker at 9 years post-implant
Petr Neužil, Jan Petrů, Milan Chovanec, Pavel Hála, Lucie Šedivá, Vivek Y. Reddy
Abstract
Leadless pacemakers (LP) are now established as a safe and effective alternative to traditional, transvenous pacemakers for single-chamber ventricular pacing.1,2 Although eliminating the transvenous pacing lead and pulse generator pocket may streamline LP delivery, long-term patient management may ultimately necessitate LP retrieval for device replacement or upgrade. LP retrieval may pose unique challenges, including the need to physically capture the device in-motion during cardiac contraction, as well as potential fibrous encapsulation which may impede this contact and the subsequent retrieval from the myocardium.
Topics & Concepts
MedicineImplantCardiologyFixation (population genetics)Internal medicineSurgeryEnvironmental healthPopulationCardiac pacing and defibrillation studiesCardiac Arrhythmias and TreatmentsCardiac Valve Diseases and Treatments