Leadless Pacemaker Pitfalls: Navigating Implantation and Postprocedure Challenges.

ABSTRACT:

Background

Leadless pacemakers (LPs) are implanted into the right ventricular septum, eliminating intravascular complications associated with traditional pacemakers. They attach to the myocardium using 4 curved, self-expanding nitinol tines.

Case summary

Our case highlights the rare occurrence of LP dislodgement into the pulmonary artery and the delayed development of a traumatic right ventricular apical pseudoaneurysm.

Discussion

LPs were designed to reduce the lead- and pocket-related complications that can be seen with conventional pacemakers. However, LPs carry a risk of dislodgement and embolization into the pulmonary artery compared with conventional pacemakers.

Take-home messages

This case explores the complexities and risks involved in both the implanta

SUBMITTER: Goldar G 

PROVIDER: S-EPMC11911882 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature