Leadless pacemaker implantation: An unexpected complication. Issue 2 (16th November 2021)

• Record Type: Journal Article
• Authors: Berdaoui, Brahim; Pintea Bentea, Georgiana; Samyn, Sophie; Morissens, Marielle; Castro Rodriguez, Jose
• Is Part Of: Pacing and clinical electrophysiology. Volume 45:Issue 2(2022)
• Page Start: 289
• Page End: 291
• Publication Date: 2021-11-16
• Subjects: instrumentation -- new technology -- pacing; Cardiac pacing -- Periodicals; Electrophysiology -- Periodicals; 617.4120645
• DOI: 10.1111/pace.14400
• Languages: English
• ISSNs: 0147-8389

Abstract

Abstract: The leadless pacemaker is an emerging technology with high efficacy and reduced complications rates. However, due to its novel status, some pitfalls remain to be addressed. We report the case of a 91‐year‐old patient undergoing a Micra pacemaker implantation. During the procedure, the maneuvers required for the adequate deployment of the device led to damaging of the septal tricuspid leaflet, resulting in severe tricuspid regurgitation. This is a severe mechanical complication of the Micra implantation technique, not previously reported in literature. In light of the novelty of the leadless pacemaker, we should remain cautious with regards to potential unreported complications.