Extraction of a dislocated leadless pacemaker in a patient with infective endocarditis and repeated endocardial and epicardial pacing system infections.

Autor:	Taborsky M; Department of Internal Medicine I - Cardiology, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc, I.P. Pavlova 6, Olomouc, Czech Republic., Skala T; Department of Internal Medicine I - Cardiology, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc, I.P. Pavlova 6, Olomouc, Czech Republic., Kocher M; Department of Radiological Methods, Faculty of Health Sciences, Palacky University Olomouc and Department of Radiology, University Hospital Olomouc, I.P. Pavlova 6, Olomouc, Czech Republic., Fedorco M; Department of Internal Medicine I - Cardiology, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc, I.P. Pavlova 6, Olomouc, Czech Republic.
Jazyk:	angličtina
Zdroj:	Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia [Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub] 2019 Feb; Vol. 163 (1), pp. 85-89. Date of Electronic Publication: 2018 May 23.
DOI:	10.5507/bp.2018.020
Abstrakt:	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.
Databáze:	MEDLINE
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