Extraction of a dislocated leadless pacemaker in a patient with infective endocarditis and repeated endocardial and epicardial pacing system infections
Background: Leadless pacemakers (PMs) were recently introduced to address the complication rate of standard PMs with transvenous leads. Methods and Results: A 34-year old male with a history of intravenous substance abuse and a chronic type C hepatitis developed a complete atrioventricular block aft...
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Palacký University Olomouc, Faculty of Medicine and Dentistry
2019-02-01
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doaj-499d386e1bab40509bfe70b64ac3d3ae2020-11-25T03:22:20ZengPalacký University Olomouc, Faculty of Medicine and DentistryBiomedical Papers1213-81181804-75212019-02-011631858910.5507/bp.2018.020bio-201901-0012Extraction of a dislocated leadless pacemaker in a patient with infective endocarditis and repeated endocardial and epicardial pacing system infectionsMilos Taborsky0Tomas Skala1Martin Kocher2Marian Fedorco3Department of Internal Medicine I - Cardiology, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc, I.P. Pavlova 6, Olomouc, Czech RepublicDepartment of Internal Medicine I - Cardiology, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc, I.P. Pavlova 6, Olomouc, Czech RepublicDepartment of Radiological Methods, Faculty of Health Sciences, Palacky University Olomouc and Department of Radiology, University Hospital Olomouc, I.P. Pavlova 6, Olomouc, Czech RepublicDepartment of Internal Medicine I - Cardiology, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc, I.P. Pavlova 6, Olomouc, Czech RepublicBackground: Leadless pacemakers (PMs) were recently introduced to address the complication rate of standard PMs with transvenous leads. Methods and Results: A 34-year old male with a history of intravenous substance abuse and a chronic type C hepatitis developed a complete atrioventricular block after cardiac surgery for infective endocarditis. Repeatedly, endo- and epi-cardially implanted PMs had to be explanted due to infection. A leadless MICRA pacemaker was successfully implanted with a dislocation into pulmonary artery several days after implantation. The PM was successfully retrieved using a single-loop retrieval snare guided by a steerable sheath. Subsequently, another Micra PM was successfully implanted with no further issues. Conclusion: In the case of a Micra leadless pacemaker dislocation, a conventional gooseneck snare in combination with a steerable sheath can be used to retrieve the device, improving the overall safety of leadless pacemakers.https://biomed.papers.upol.cz/artkey/bio-201901-0012_extraction_of_a_dislocated_leadless_pacemaker_in_a_patient_with_infective_endocarditis_and_repeated_endocardial.phpmicraleadlesspacemakerdislocationextractiongooseneck snare |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Milos Taborsky Tomas Skala Martin Kocher Marian Fedorco |
spellingShingle |
Milos Taborsky Tomas Skala Martin Kocher Marian Fedorco Extraction of a dislocated leadless pacemaker in a patient with infective endocarditis and repeated endocardial and epicardial pacing system infections Biomedical Papers micra leadless pacemaker dislocation extraction gooseneck snare |
author_facet |
Milos Taborsky Tomas Skala Martin Kocher Marian Fedorco |
author_sort |
Milos Taborsky |
title |
Extraction of a dislocated leadless pacemaker in a patient with infective endocarditis and repeated endocardial and epicardial pacing system infections |
title_short |
Extraction of a dislocated leadless pacemaker in a patient with infective endocarditis and repeated endocardial and epicardial pacing system infections |
title_full |
Extraction of a dislocated leadless pacemaker in a patient with infective endocarditis and repeated endocardial and epicardial pacing system infections |
title_fullStr |
Extraction of a dislocated leadless pacemaker in a patient with infective endocarditis and repeated endocardial and epicardial pacing system infections |
title_full_unstemmed |
Extraction of a dislocated leadless pacemaker in a patient with infective endocarditis and repeated endocardial and epicardial pacing system infections |
title_sort |
extraction of a dislocated leadless pacemaker in a patient with infective endocarditis and repeated endocardial and epicardial pacing system infections |
publisher |
Palacký University Olomouc, Faculty of Medicine and Dentistry |
series |
Biomedical Papers |
issn |
1213-8118 1804-7521 |
publishDate |
2019-02-01 |
description |
Background: Leadless pacemakers (PMs) were recently introduced to address the complication rate of standard PMs with transvenous leads. Methods and Results: A 34-year old male with a history of intravenous substance abuse and a chronic type C hepatitis developed a complete atrioventricular block after cardiac surgery for infective endocarditis. Repeatedly, endo- and epi-cardially implanted PMs had to be explanted due to infection. A leadless MICRA pacemaker was successfully implanted with a dislocation into pulmonary artery several days after implantation. The PM was successfully retrieved using a single-loop retrieval snare guided by a steerable sheath. Subsequently, another Micra PM was successfully implanted with no further issues. Conclusion: In the case of a Micra leadless pacemaker dislocation, a conventional gooseneck snare in combination with a steerable sheath can be used to retrieve the device, improving the overall safety of leadless pacemakers. |
topic |
micra leadless pacemaker dislocation extraction gooseneck snare |
url |
https://biomed.papers.upol.cz/artkey/bio-201901-0012_extraction_of_a_dislocated_leadless_pacemaker_in_a_patient_with_infective_endocarditis_and_repeated_endocardial.php |
work_keys_str_mv |
AT milostaborsky extractionofadislocatedleadlesspacemakerinapatientwithinfectiveendocarditisandrepeatedendocardialandepicardialpacingsysteminfections AT tomasskala extractionofadislocatedleadlesspacemakerinapatientwithinfectiveendocarditisandrepeatedendocardialandepicardialpacingsysteminfections AT martinkocher extractionofadislocatedleadlesspacemakerinapatientwithinfectiveendocarditisandrepeatedendocardialandepicardialpacingsysteminfections AT marianfedorco extractionofadislocatedleadlesspacemakerinapatientwithinfectiveendocarditisandrepeatedendocardialandepicardialpacingsysteminfections |
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