Work

Successful Leadless Pacemaker Implantation Despite SVC Obstruction

Year: 2025

Type: article

Abstract: BACKGROUND: A 69-year-old male underwent implantation of a leadless pacemaker after a failed attempt to upgrade his single lead ICD in the setting of SVC obstruction. CASE SUMMARY: A 69-year-old male with ischemic cardiomyopathy status post single chamber ICD presented with fatigue. Device interrogation revealed increased RV pacing. Device upgrade was attempted; however, he was found to have a SVC obstruction. A leadless pacemaker was subsequently placed in the right atrium via femoral approach. DISCUSSION: Permanent leadless pacemakers provide a safe, less invasive alternative for patients with conditions that would have previously required complex interventions. Our case demonstrates the use of a leadless pacemaker in a patient with SVC obstruction and ESRD, offering lower infection risk and benefit of retrievability.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.103364

Authors: Naveen Vuppuluri, Tarek Makki, Firas Zahwe

Institution: Henry Ford Health

Language: English

Topic: Cardiac pacing and defibrillation studies

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850