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Blessberger H, Kiblboeck D, Grosse C, Noack P, Ebner J, Boetscher J, Maier J, Schwarz S, Reiter C, Fellner A, Lichtenauer M, Kellermair J, Kammler J, Saleh K, Steinwender C. Life cycle and post-mortem ingrowth patterns of a leadless pacemaker system. Europace 2024; 26:euae013. [PMID: 38242703 PMCID: PMC10869213 DOI: 10.1093/europace/euae013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2023] [Accepted: 01/08/2024] [Indexed: 01/21/2024] Open
Affiliation(s)
- Hermann Blessberger
- Department of Cardiology, Kepler University Hospital, Krankenhausstraße 9, 4020 Linz, Austria
- Medical Faculty of the Johannes Kepler University Linz, Altenberger Straße 64, 4040 Linz, Austria
| | - Daniel Kiblboeck
- Department of Cardiology, Kepler University Hospital, Krankenhausstraße 9, 4020 Linz, Austria
- Medical Faculty of the Johannes Kepler University Linz, Altenberger Straße 64, 4040 Linz, Austria
| | - Claudia Grosse
- Medical Faculty of the Johannes Kepler University Linz, Altenberger Straße 64, 4040 Linz, Austria
- Institute of Clinical Pathology and Molecular Pathology, Kepler University Hospital, Linz, Austria
| | - Petar Noack
- Medical Faculty of the Johannes Kepler University Linz, Altenberger Straße 64, 4040 Linz, Austria
- Institute of Clinical Pathology and Molecular Pathology, Kepler University Hospital, Linz, Austria
| | - Jakob Ebner
- Department of Cardiology, Kepler University Hospital, Krankenhausstraße 9, 4020 Linz, Austria
- Medical Faculty of the Johannes Kepler University Linz, Altenberger Straße 64, 4040 Linz, Austria
| | - Jakob Boetscher
- Department of Cardiology, Kepler University Hospital, Krankenhausstraße 9, 4020 Linz, Austria
- Medical Faculty of the Johannes Kepler University Linz, Altenberger Straße 64, 4040 Linz, Austria
| | - Julian Maier
- Department of Cardiology, Kepler University Hospital, Krankenhausstraße 9, 4020 Linz, Austria
- Medical Faculty of the Johannes Kepler University Linz, Altenberger Straße 64, 4040 Linz, Austria
| | - Stefan Schwarz
- Department of Cardiology, Kepler University Hospital, Krankenhausstraße 9, 4020 Linz, Austria
- Medical Faculty of the Johannes Kepler University Linz, Altenberger Straße 64, 4040 Linz, Austria
| | - Christian Reiter
- Department of Cardiology, Kepler University Hospital, Krankenhausstraße 9, 4020 Linz, Austria
- Medical Faculty of the Johannes Kepler University Linz, Altenberger Straße 64, 4040 Linz, Austria
| | - Alexander Fellner
- Department of Cardiology, Kepler University Hospital, Krankenhausstraße 9, 4020 Linz, Austria
- Medical Faculty of the Johannes Kepler University Linz, Altenberger Straße 64, 4040 Linz, Austria
| | - Michael Lichtenauer
- Department of Internal Medicine II, Paracelsus Medical University, Salzburg, Austria
| | - Joerg Kellermair
- Department of Cardiology, Kepler University Hospital, Krankenhausstraße 9, 4020 Linz, Austria
- Medical Faculty of the Johannes Kepler University Linz, Altenberger Straße 64, 4040 Linz, Austria
| | - Juergen Kammler
- Department of Cardiology, Kepler University Hospital, Krankenhausstraße 9, 4020 Linz, Austria
- Medical Faculty of the Johannes Kepler University Linz, Altenberger Straße 64, 4040 Linz, Austria
- Department of Internal Medicine II, Paracelsus Medical University, Salzburg, Austria
| | - Karim Saleh
- Department of Cardiology, Kepler University Hospital, Krankenhausstraße 9, 4020 Linz, Austria
- Medical Faculty of the Johannes Kepler University Linz, Altenberger Straße 64, 4040 Linz, Austria
| | - Clemens Steinwender
- Department of Cardiology, Kepler University Hospital, Krankenhausstraße 9, 4020 Linz, Austria
- Medical Faculty of the Johannes Kepler University Linz, Altenberger Straße 64, 4040 Linz, Austria
- Department of Internal Medicine II, Paracelsus Medical University, Salzburg, Austria
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Lost but Not Lost-Embolization of a Leadless Pacemaker to the Pulmonary Artery with Consecutive Endovascular Recovery. J Cardiovasc Dev Dis 2021; 8:jcdd8040037. [PMID: 33917180 PMCID: PMC8067858 DOI: 10.3390/jcdd8040037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Accepted: 04/06/2021] [Indexed: 11/17/2022] Open
Abstract
Background: Leadless transcatheter pacemaker systems (TPS) have become a valuable alternative to transvenous pacemakers in selected indications. With the steadily increasing amount of TPS implantations performed worldwide, reports of periprocedural complications are likewise increasingly found in the literature but are still underreported. Case presentation: We report a case of a 75 year old male undergoing TPS implantation due to cardioinhibitory vasovagal syncope. The implantation was primarily uneventful; adequate pacing parameters and fixation of the device were achieved. Unfortunately, dislocation of the leadless pacemaker occurred at the end of the procedure and the device embolized into a primary side branch of the right pulmonary artery. Endovascular retrieval was performed by using a single snare technique without any further complications. Conclusions: Although challenging, endovascular recovery of embolized TPS from the pulmonary artery is feasible and may be successfully accomplished by experienced implanters.
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Gupta S, Cho K, Papagiannis J, Tisma-Dupanovic S, Borsa J. A novel technique for extraction of a leadless pacemaker that embolized to the pulmonary artery in a young patient: A case report. HeartRhythm Case Rep 2020; 6:724-728. [PMID: 33101941 PMCID: PMC7573366 DOI: 10.1016/j.hrcr.2020.07.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Affiliation(s)
- Sanjaya Gupta
- Division of Cardiology, Saint Luke’s Mid-America Heart Institute, Kansas City, Missouri
- Address reprint requests and correspondence: Dr Sanjaya Gupta, Saint Luke’s Mid-America Heart Institute, 9th Floor – Cardiovascular Research, 4400 Wornall Rd, Kansas City, MO 64111.
| | - Ken Cho
- Department of Radiology, Saint Luke’s Hospital of Kansas City, Kansas City, Missouri
| | - John Papagiannis
- Division of Cardiology, Saint Luke’s Mid-America Heart Institute, Kansas City, Missouri
- Division of Cardiology, Children’s Mercy Hospital, Kansas City, Missouri
| | - Svjetlana Tisma-Dupanovic
- Division of Cardiology, Saint Luke’s Mid-America Heart Institute, Kansas City, Missouri
- Division of Cardiology, Children’s Mercy Hospital, Kansas City, Missouri
| | - John Borsa
- Department of Radiology, Saint Luke’s Hospital of Kansas City, Kansas City, Missouri
- Department of Radiology, University of Missouri Kansas City, Kansas City, Missouri
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