"Catch, Flip, and Remove" Technique for Retrieval of a Hypermobile Detached Leadless Pacemaker: A Case Report and
Michael Co1, Ravi Mandapati1, Jason Smith2
1Department of Cardiology, Cardiac Arrhythmia Service, Loma Linda University Medical Center, Loma Linda, CA, USA.
The Journal of Innovations in Cardiac Rhythm Management
|April 27, 2022
Abstract:
Leadless pacemaker (LP) detachment is a rare but life-threatening complication that may occur during implantation. While different snaring techniques have been described to remove partially or completely detached LPs, there are currently no reports of snaring a hypermobile LP that travels between different cardiac chambers. This report describes a technique to successfully snare a hypermobile detached LP by first "catching" onto the tines for stabilization with the help of a multi-loop snare, followed by using a second snare for the proximal retrieval feature.


