Transcatheter non-acute retrieval of the tine-based leadless ventricular pacemaker
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023884%3A_____%2F24%3A00009873" target="_blank" >RIV/00023884:_____/24:00009873 - isvavai.cz</a>
Result on the web
<a href="https://academic.oup.com/europace/article/26/10/euae256/7815054?login=true" target="_blank" >https://academic.oup.com/europace/article/26/10/euae256/7815054?login=true</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1093/europace/euae256" target="_blank" >10.1093/europace/euae256</a>
Alternative languages
Result language
angličtina
Original language name
Transcatheter non-acute retrieval of the tine-based leadless ventricular pacemaker
Original language description
Aims We report our single-centre experience of mid-term to long-term retrieval and reimplantation of atine-based leadless pacemaker [Micra transcatheter pacing system (TPS)]. The TPS is a clinically effective alternative to transvenous single-chamber ventricular pacemakers. Whereas it is currently recommended to abandon the TPS at the end of device life, catheter-based retrieval may be favourable in specific scenarios. Methods and results We report on nine consecutive patients with the implanted TPS who subsequently underwent transcatheter retrieval attempts. The retrieval system consists of the original TPS delivery catheter and an off-the-shelf single-loop 7 mm snare. The procedure was guided by fluoroscopy and intracardiac echocardiography. After an implantation duration of 3.1 +/- 2.8 years (range 0.4-9.0), the overall retrieval success rate was 88.9% (8 of 9 patients). The mean procedure time was 89 +/- 16 min, and the fluoroscopy time was 18.0 +/- 6.6 min. No procedure-related adverse device events occurred. In the one unsuccessful retrieval, intracardiac echocardiography revealed that the TPS was partially embedded in the ventricular tissue surrounding the leadless pacemaker body in the right ventricle. After retrieval, three patients were reimplanted with a new TPS device. All implantations were successful without complications. Conclusion A series of transvenous late retrievals of implanted TPS devices demonstrated safety and feasibility, followed by elective replacement with a new leadless pacing device or conventional transvenous pacing system. This provides a viable end-of-life management alternative to simple abandonment of this leadless pacemaker.
Czech name
—
Czech description
—
Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
—
OECD FORD branch
30201 - Cardiac and Cardiovascular systems
Result continuities
Project
—
Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2024
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Europace
ISSN
1099-5129
e-ISSN
—
Volume of the periodical
26
Issue of the periodical within the volume
10
Country of publishing house
GB - UNITED KINGDOM
Number of pages
5
Pages from-to
4-8
UT code for WoS article
001342236800001
EID of the result in the Scopus database
2-s2.0-85207663640