Journal article
Leadless Pacemaker Pitfalls
JACC. Case reports, Vol.30(5), 102992
03/05/2025
DOI: 10.1016/j.jaccas.2024.102992
PMCID: PMC11911882
PMID: 40054926
Abstract
Leadless pacemakers (LPs) are implanted into the right ventricular septum, eliminating intravascular complications associated with traditional pacemakers. They attach to the myocardium using 4 curved, self-expanding nitinol tines.
Our case highlights the rare occurrence of LP dislodgement into the pulmonary artery and the delayed development of a traumatic right ventricular apical pseudoaneurysm.
LPs were designed to reduce the lead- and pocket-related complications that can be seen with conventional pacemakers. However, LPs carry a risk of dislodgement and embolization into the pulmonary artery compared with conventional pacemakers.
This case explores the complexities and risks involved in both the implantation and retrieval of LPs in high-risk patient populations and highlights the importance of meticulous technique in retrieving an acutely embolized LP from the right PA.
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Details
- Title: Subtitle
- Leadless Pacemaker Pitfalls
- Creators
- Ghazaleh Goldar - University of Iowa Hospitals and ClinicsAaron Sifuentes - University of Iowa Hospitals and ClinicsAshraf Alzahrani - University of IowaBharat Surani - University of Iowa Hospitals and ClinicsPeter Farjo - University of IowaPaari Dominic - University of Iowa Hospitals and Clinics
- Resource Type
- Journal article
- Publication Details
- JACC. Case reports, Vol.30(5), 102992
- DOI
- 10.1016/j.jaccas.2024.102992
- PMID
- 40054926
- PMCID
- PMC11911882
- NLM abbreviation
- JACC Case Rep
- ISSN
- 2666-0849
- eISSN
- 2666-0849
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 03/05/2025
- Academic Unit
- Cardiovascular Medicine; Internal Medicine
- Record Identifier
- 9984798362902771
Metrics
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