Tips and Tricks for Safe Retrieval of Tine-based Leadless Pacemakers

Muhammad R Afzal; Shakeel M Jamal; Jae H Son; Jae-Hoon Chung; James Gabriels; Toshimasa Okabe; John D Hummel; Ralph S Augostini

doi:10.19102/icrm.2021.120606

Tips and Tricks for Safe Retrieval of Tine-based Leadless Pacemakers

J Innov Card Rhythm Manag. 2021 Jun 15;12(6):4562-4568. doi: 10.19102/icrm.2021.120606. eCollection 2021 Jun.

Authors

Muhammad R Afzal¹, Shakeel M Jamal², Jae H Son³, Jae-Hoon Chung¹, James Gabriels⁴, Toshimasa Okabe¹, John D Hummel¹, Ralph S Augostini¹

Affiliations

¹ Division of Cardiovascular Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
² Department of Internal Medicine, Central Michigan University, College of Medicine, Saginaw, MI, USA.
³ Department of Internal Medicine, Fairfield Medical Center, Lancaster, OH, USA.
⁴ Department of Medicine, Division of Cardiology, New York Presbyterian Hospital-Weill Cornell Medicine, New York, NY, USA.

Abstract

As leadless pacing (LP) use is expected to increase, it becomes increasingly essential that operators become familiar with the tools and techniques needed to retrieve an LP successfully. The purpose of this review is to describe a stepwise approach for the successful retrieval of tine-based LP devices, including ways to minimize complications.

Keywords: Elevated threshold; Micra™ transcatheter pacing system; leadless pacemakers; retrieval; snare.