"Catch, Flip, and Remove" Technique for Retrieval of a Hypermobile Detached Leadless Pacemaker: A Case Report and Literature Review

J Innov Card Rhythm Manag. 2022 Apr 15;13(4):4964-4967. doi: 10.19102/icrm.2022.130404. eCollection 2022 Apr.

Abstract

Leadless pacemaker (LP) detachment is a rare but life-threatening complication that may occur during implantation. While different snaring techniques have been described to remove partially or completely detached LPs, there are currently no reports of snaring a hypermobile LP that travels between different cardiac chambers. This report describes a technique to successfully snare a hypermobile detached LP by first "catching" onto the tines for stabilization with the help of a multi-loop snare, followed by using a second snare for the proximal retrieval feature.

Keywords: Complication; dislodgement; extraction; leadless pacemaker; snaring.

Publication types

  • Case Reports