Related Experiment Video

Updated: Feb 11, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
08:50

Assessment of Vascular Function in Patients With Chronic Kidney Disease

Published on: June 16, 2014

16.8K

Leadless pacemaker placement in a patient with chronic kidney disease: A strategy to preserve central veins

Joan Alberto Maradey1, Geoffrey Te Jao1, Tushar J Vachharajani2

  • 1Division of Cardiology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.

Hemodialysis International. International Symposium on Home Hemodialysis
|April 27, 2018
PubMed

Insights

Leadless pacemakers offer a solution for dialysis patients with cardiac rhythm disorders, preserving central veins crucial for future vascular access. This approach avoids transvenous leads, preventing stenosis and ensuring successful dialysis access creation.

Area of Science:

  • Cardiology
  • Nephrology
  • Medical Devices

Background:

  • Cardiac rhythm disorders are common in patients undergoing hemodialysis.
  • Conventional pacemakers (CIEDs) use transvenous leads that can cause central venous stenosis.
  • Venous stenosis complicates the creation of essential dialysis vascular access.

Observation:

  • A patient with chronic kidney disease requiring hemodialysis and a pacemaker presented a clinical challenge.
  • The need to preserve central veins for future vascular access was critical.

Findings:

  • A leadless pacemaker was successfully implanted in a hemodialysis patient.
  • This innovative approach preserved the patient's central veins.

Implications:

  • Leadless pacemakers represent a significant advancement for managing cardiac rhythm disorders in dialysis patients.
  • This strategy preserves central venous patency, optimizing conditions for future dialysis vascular access creation.
  • Implementing leadless pacing technology can improve long-term management strategies for chronic kidney disease patients.

Keywords:
CKDLeadless pacemakerarteriovenous fistulacentral vein stenosishemodialysis

More Related Videos

Normothermic Ex Vivo Kidney Perfusion for the Preservation of Kidney Grafts prior to Transplantation08:12

Normothermic Ex Vivo Kidney Perfusion for the Preservation of Kidney Grafts prior to Transplantation

Published on: July 15, 2015

19.9K
Innovative Strategies for Organ Preservation in Heart Transplantation: Uniform Cooling Preservation and Ex-situ Normothermic Perfusion08:15

Innovative Strategies for Organ Preservation in Heart Transplantation: Uniform Cooling Preservation and Ex-situ Normothermic Perfusion

Published on: November 28, 2025

642

Related Concept Videos

Chronic Kidney Disease I: Introduction01:25

Chronic Kidney Disease I: Introduction

Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
766
Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
683
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
485
Chronic Kidney Disease IV: Nursing Management01:18

Chronic Kidney Disease IV: Nursing Management

Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
413
Kidney Structure01:45

Kidney Structure

The kidneys are two large bean-shaped organs located in the upper abdomen. They filter the blood several times a day to remove toxins and rebalance water and electrolytes of the circulatory system via the renal veins. The kidneys receive blood directly from the heart via the renal arteries. These arteries enter the kidney at the hilum, the concave surface of the bean, where they branch and divide into smaller vessels and capillaries.
75.5K
Chronic Obstructive Pulmonary Disease01:24

Chronic Obstructive Pulmonary Disease

COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
2.6K