Navigating the Lead Paradox: Successful Co-Implantation of Cardiac Contractility Modulation Device and a Micra

Gabriele Pavani1,2,3,4, Paolo Garrone1,3, Gianpaolo Varalda1,3

  • 1Cardiac Electrophysiology Unit, San Luigi Gonzaga University Hospital, Orbassano, Turin, Italy.

Summary

This study presents a novel dual-device strategy for managing refractory heart failure in patients with transthyretin cardiac amyloidosis (ATTRwt-CA). Co-implantation of Cardiac Contractility Modulation (CCM) and Micra leadless pacemakers offers a feasible solution to the "lead paradox".

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