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Leadless pacemaker tine fracture and dislocation: two case reports.

Yiqing Shen1, Haiwei Li1, Weiping Sun1

  • 1Department of Cardiology, Beijing Anzhen Hospital Affiliated to Capital Medical University, No.2 Anzhen Road, Chaoyang District, Beijing, China.

BMC Cardiovascular Disorders
|October 22, 2025
PubMed
Summary
This summary is machine-generated.

Leadless pacemaker dislocation is a rare but serious complication. Early detection through regular programming is crucial for timely intervention and improved patient outcomes in leadless pacemaker recipients.

Keywords:
Case reportDislodgementLeadless pacemakerMicra

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Area of Science:

  • Cardiology
  • Medical Devices
  • Implantable Electronics

Background:

  • Leadless pacemaker implantation is rising globally.
  • Reports on leadless pacemaker dislocation and extraction are infrequent.
  • Complications such as leadless pacemaker tine fracture can occur.

Purpose of the Study:

  • To report two cases of leadless pacemaker tine fracture and dislocation.
  • To highlight potential complications associated with leadless pacemaker use.
  • To emphasize the importance of post-implantation monitoring.

Main Methods:

  • Case report of an elderly male with leadless pacemaker dislocation to the right pulmonary artery one month post-surgery.
  • Case report of an elderly female with leadless pacemaker dislocation to the right ventricle nine months post-surgery.
  • Review of clinical management and outcomes for both cases.

Main Results:

  • One patient experienced dislocation to the right pulmonary artery, requiring new leadless pacemaker implantation.
  • The second patient had dislocation to the right ventricle, necessitating leadless pacemaker removal and dual-chamber permanent pacemaker implantation.
  • Both cases illustrate the potential for leadless pacemaker displacement.

Conclusions:

  • Leadless pacemaker dislocation, though rare, can occur due to complications like tine fracture.
  • Regular device programming and monitoring are essential for early detection of abnormalities.
  • Prompt clinical intervention is necessary to manage leadless pacemaker complications effectively.