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Implantation of a Leadless Pacemaker after Incomplete Transvenous Lead Extraction in a 90-Year-Old Pacemaker-Dependent Patient

Author

Listed:
  • Gerald Drożdż

    (Department of General Internal Medicine, Kantonsspital Graubünden, 7000 Chur, Switzerland)

  • Bruno Hrymniak

    (Centre for Heart Diseases, Department of Cardiology, 4th Military Hospital, 50-981 Wroclaw, Poland)

  • Bartosz Biel

    (Centre for Heart Diseases, Department of Cardiology, 4th Military Hospital, 50-981 Wroclaw, Poland)

  • Przemysław Skoczyński

    (Centre for Heart Diseases, Department of Cardiology, 4th Military Hospital, 50-981 Wroclaw, Poland
    Department of Emergency Medicine, Wrocław Medical University, 50-367 Wroclaw, Poland)

  • Wiktoria Drożdż

    (Department of General Internal Medicine, Kantonsspital Graubünden, 7000 Chur, Switzerland)

  • Dorota Zyśko

    (Centre for Heart Diseases, Department of Cardiology, 4th Military Hospital, 50-981 Wroclaw, Poland
    Department of Emergency Medicine, Wrocław Medical University, 50-367 Wroclaw, Poland)

  • Waldemar Banasiak

    (Centre for Heart Diseases, Department of Cardiology, 4th Military Hospital, 50-981 Wroclaw, Poland)

  • Dariusz Jagielski

    (Centre for Heart Diseases, Department of Cardiology, 4th Military Hospital, 50-981 Wroclaw, Poland)

Abstract

Transluminal lead extraction (TLE) is a well-established procedure for the removal of damaged or infected pacing systems. Despite its high efficacy, the procedure is associated with significant risks, some of which may contribute to severe life-threatening complications. Herein, we present the case of a 90-year-old female who was 100% pacemaker-dependent (PM-dependent) and had ventricular lead fragmentation after the TLE procedure. In this elderly patient, after taking into account the whole clinical context—age, frailty syndrome, infection, and high peri- and postprocedural risks—we decided on MICRA VR implantation as well as leaving the remains of the ventricular lead in the right heart chambers. A Leadless pacemaker (LP) is an excellent alternative to PM-dependent individuals, in whom implantation of permanent transvenous PM is precluded due to multiple infectious and non-infectious issues.

Suggested Citation

  • Gerald Drożdż & Bruno Hrymniak & Bartosz Biel & Przemysław Skoczyński & Wiktoria Drożdż & Dorota Zyśko & Waldemar Banasiak & Dariusz Jagielski, 2022. "Implantation of a Leadless Pacemaker after Incomplete Transvenous Lead Extraction in a 90-Year-Old Pacemaker-Dependent Patient," IJERPH, MDPI, vol. 19(10), pages 1-5, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:10:p:6313-:d:821562
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