Elective replacement of a 4-year-old leadless pacemaker: New approach for end-of-life management

J Cardiovasc Electrophysiol. 2021 Apr;32(4):1171-1173. doi: 10.1111/jce.14946. Epub 2021 Feb 18.

Abstract

We report the first case of new technique of replacement of a Micra TPS, due to battery depletion. A 38-year-old patient was admitted due to battery depletion of a TPS, after 44 months of regular pacemaker functioning. After routine implantation of a new TPS, we use a snare loop inserted in the delivery system to capture the old TPS. We believe this approach a good option not to abandon the depleted device, to avoid possible electrical interference or space occupation in right ventricle. This new approach allows to change the strategy during procedure and does not increase significantly the procedure costs.

Keywords: MICRA; extraction; leadless; pacemaker; young patient.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Child, Preschool
  • Death
  • Device Removal*
  • Humans
  • Pacemaker, Artificial*
  • Prosthesis Implantation
  • Treatment Outcome