Retrieval of a Micra transcatheter pacing system in a heart with a preexisting lead

We report the case of a 74-year-old man with a previously implanted pacemaker lead. He had undergone Medtronic™ Micra Transcatheter Pacing System (TPS, Medtronic plc, MN, USA) implantation because of lead fracture. We implanted a new TPS and retrieved the dislodged one. We used a multiple-loop snare...

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Autores principales: Morita, Junji, Fukunaga, Masato, Hiroshima, Kenichi, Nagashima, Michio, Miura, Mizuki, Ando, Kenji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6160494/
https://www.ncbi.nlm.nih.gov/pubmed/29807136
http://dx.doi.org/10.1016/j.ipej.2018.05.001
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author Morita, Junji
Fukunaga, Masato
Hiroshima, Kenichi
Nagashima, Michio
Miura, Mizuki
Ando, Kenji
author_facet Morita, Junji
Fukunaga, Masato
Hiroshima, Kenichi
Nagashima, Michio
Miura, Mizuki
Ando, Kenji
author_sort Morita, Junji
collection PubMed
description We report the case of a 74-year-old man with a previously implanted pacemaker lead. He had undergone Medtronic™ Micra Transcatheter Pacing System (TPS, Medtronic plc, MN, USA) implantation because of lead fracture. We implanted a new TPS and retrieved the dislodged one. We used a multiple-loop snare (EN snare(®)) and an 8.5F steerable sheath (Agilis NXT; St. Jude Medical, St Paul, MN, USA). The TPS was obstructed by the chordae tendineae of the tricuspid valve and the pacemaker lead. We pushed the TPS to the apex site; this enabled us to move the TPS away from the chordae tendineae and pacemaker lead. The TPS body was caught in the inferior vena cava and was successfully retrieved. To our knowledge, this is the first case reporting TPS retrieval in a heart with preexisting lead.
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spelling pubmed-61604942018-10-01 Retrieval of a Micra transcatheter pacing system in a heart with a preexisting lead Morita, Junji Fukunaga, Masato Hiroshima, Kenichi Nagashima, Michio Miura, Mizuki Ando, Kenji Indian Pacing Electrophysiol J Case Report We report the case of a 74-year-old man with a previously implanted pacemaker lead. He had undergone Medtronic™ Micra Transcatheter Pacing System (TPS, Medtronic plc, MN, USA) implantation because of lead fracture. We implanted a new TPS and retrieved the dislodged one. We used a multiple-loop snare (EN snare(®)) and an 8.5F steerable sheath (Agilis NXT; St. Jude Medical, St Paul, MN, USA). The TPS was obstructed by the chordae tendineae of the tricuspid valve and the pacemaker lead. We pushed the TPS to the apex site; this enabled us to move the TPS away from the chordae tendineae and pacemaker lead. The TPS body was caught in the inferior vena cava and was successfully retrieved. To our knowledge, this is the first case reporting TPS retrieval in a heart with preexisting lead. Elsevier 2018-05-25 /pmc/articles/PMC6160494/ /pubmed/29807136 http://dx.doi.org/10.1016/j.ipej.2018.05.001 Text en © 2018 Indian Heart Rhythm Society. Production and hosting by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Morita, Junji
Fukunaga, Masato
Hiroshima, Kenichi
Nagashima, Michio
Miura, Mizuki
Ando, Kenji
Retrieval of a Micra transcatheter pacing system in a heart with a preexisting lead
title Retrieval of a Micra transcatheter pacing system in a heart with a preexisting lead
title_full Retrieval of a Micra transcatheter pacing system in a heart with a preexisting lead
title_fullStr Retrieval of a Micra transcatheter pacing system in a heart with a preexisting lead
title_full_unstemmed Retrieval of a Micra transcatheter pacing system in a heart with a preexisting lead
title_short Retrieval of a Micra transcatheter pacing system in a heart with a preexisting lead
title_sort retrieval of a micra transcatheter pacing system in a heart with a preexisting lead
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6160494/
https://www.ncbi.nlm.nih.gov/pubmed/29807136
http://dx.doi.org/10.1016/j.ipej.2018.05.001
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