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

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

Paolo De Filippo  1   2 , Giovanni Malanchini  1   2 , Cristina Leidi  1 , Marco Racheli  1   2 , Gabriele Ferrari  1 , Michele Senni  2 , Paola Ferrari  1   2
Affiliations
Case Reports

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

Paolo De Filippo et al. J Cardiovasc Electrophysiol. 2021 Apr.

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.

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References

REFERENCES

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