Retrieval of an infectious leadless pacemaker with vegetation
Junji Morita1, Yusuke Kondo2, Daisuke Hachinohe1
1Department of Cardiology Sapporo Cardiovascular Clinic Sapporo Japan.
Journal of Arrhythmia
|February 3, 2023
Summary
This case study presents a novel technique for retrieving a pacemaker infected with vegetation. The method involves grasping the Micra device and inserting it into the Agilis sheath for removal.
Area of Science:
- Cardiology
- Medical Device Retrieval
Background:
- Pacemaker implantation is common for cardiac rhythm management.
- Pacemaker lead vegetation poses a significant risk of systemic infection and embolism.
- Retrieval of infected pacemakers can be challenging.
Purpose of the Study:
- To describe a potential technique for the retrieval of a pacemaker with vegetation.
- To highlight a method for managing infected cardiac electronic devices.
Main Methods:
- A case report of a 78-year-old male patient with pacemaker-related vegetation.
- Description of a novel retrieval technique involving the Micra device and Agilis sheath.
Main Results:
- Successful retrieval of the pacemaker with vegetation was achieved.
- The described technique proved feasible in this clinical scenario.
Conclusions:
- Grasping the Micra device body and retracting it into the Agilis sheath is a viable strategy for pacemaker retrieval.
- This technique may offer a solution for managing infected pacemaker systems.
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