Subclinical cardiac perforation caused by a Micra™ leadless pacemaker. Issue 3 (6th April 2018)

• Record Type: Journal Article
• Authors: Togashi, Ikuko; Sato, Toshiaki; Hoshida, Kyoko; Soejima, Kyoko
• Is Part Of: Journal of arrhythmia. Volume 34:Issue 3(2018)
• Page Start: 326
• Page End: 328
• Publication Date: 2018-04-06
• Subjects: cardiac effusion -- cardiac perforation -- leadless pacemaker -- Micra -- transcatheter pacing system; Arrhythmia -- Periodicals; Cardiac pacing -- Periodicals; Arrhythmias, Cardiac; Arrhythmia; Cardiac pacing; Periodicals; Electronic journals; Periodicals; 616.128
• DOI: 10.1002/joa3.12052
• Languages: English
• ISSNs: 1880-4276

Abstract

Abstract: A subclinical cardiac perforation by a device cup of the Micra™ transcatheter pacing system was suspected in a 78‐year‐old woman. During the procedure, the device cup was placed on the septum. The contrast media was injected before device deployment and remained outside of the myocardium. Later, a cardiac computed tomography scan visualized a protruded diverticular structure on the right ventricle. The contrast material remained in a pouch within the pericardium. To ensure the device is oriented away from the border between the right ventricular septum and the free wall, right anterior oblique view should be carefully reviewed before deployment.