Work

Extraction of long-term tine-based leadless pacemakers through the jugular approach: two case reports

Year: 2025

Type: article

Abstract: Background: Tine-based leadless pacemakers (LP) have been in clinical use for over a decade. However, optimal management at the time of battery depletion remains uncertain. In this report, we describe the successful extraction of two tine-based LP, performed 4 and 8 years after initial implantation, using a right internal jugular venous approach. Case summary: Two patients (86-year-old man and a 93-year-old woman) received their initial tine-based LP four and 8 years ago, respectively, for the prevention of severe bradycardia in the setting of permanent atrial fibrillation. Both underwent implantation of a new device due to battery depletion via a right jugular approach. After successful deployment, a steerable sheath and a Goose Neck Snare were used to retrieve the old device. This was successful in both cases and the previously implanted device could be extracted with little resistance. Conclusion: Retrieval of tine-based LP is possible and safe even after long-term implantation.

Source: European Heart Journal - Case Reports

DOI: 10.1093/ehjcr/ytaf600

Authors: Alexander Breitenstein, Nadine Molitor, Daniel Hofer

Institution: University Hospital Zurich

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: $815