Initial experience with a leadless pacemaker (Micra™) implantation in a low volume center in South East Asia

AIM: The Micra™ Transcatheter Pacing System is a leadless pacemaker that has been introduced recently. We share our experience in a low volume center and the use of right ventricular angiography (RVA) during implantation. MATERIALS & METHODS: Patients underwent Micra implantation and RVA was performed to predetermine the implant site. RESULTS: Nine patients underwent Micra implantation. The most common indication was atrial fibrillation with bradycardia. The device was implanted at apical-septum in seven and mid-septum in two. The procedure time ranged from 30 to 100 min and fluoroscopic time 4–18 min. Pacing parameters remained stable after 1-month follow-up. CONCLUSION: The Micra implantation technique can be easily learnt. RVA was helpful in selecting an appropriate site for the Micra implant.