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Case Reports
. 2020 Sep 2;6(11):863-866.
doi: 10.1016/j.hrcr.2020.08.022. eCollection 2020 Nov.

Retrieval of an infected leadless pacemaker

Affiliations
Case Reports

Retrieval of an infected leadless pacemaker

Kristin Ellison et al. HeartRhythm Case Rep. .
No abstract available

Keywords: Cannula; Device infection; Device retrieval; Intracardiac echocardiogram; Leadless pacemaker.

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Figures

Figure 1
Figure 1
Intracardiac echocardiogram (ICE) image. The ICE catheter is positioned in the right ventricle, and it showed a large mobile vegetation attached to the pacemaker.
Figure 2
Figure 2
Pre-extraction chest computed tomographic scan. Three-dimensional reconstruction of the leadless pacemaker confirms its position in the right ventricular outflow tract.
Figure 3
Figure 3
Device retrieval process under fluoroscopy. A: At the beginning of the procedure, the device was visualized on fluoroscopy. B: Under ultrasound guidance, a 28F Edwards venous cannula was inserted and advanced to the junction between the inferior vena cava and the right atrium. The system was advanced to the right ventricular outflow tract to deliver the snare and then pulled back as described in text. C: A snaring tool was advanced through the 28F cannula and grasped the leadless pacemaker. D–F: The device was then slowly retracted and pulled back into the cannula.

References

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