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BMC Cardiovascular Disorders
Published in: BMC Cardiovascular Disorders 1/2024

Open Access 01-12-2024 | Pacemaker | Case Report

A case of endocardial dissection caused by Micra implantation

Authors: Jianghua Zhang, Shuai Shang, Zhenyu Dong, Xianhui Zhou, Yaodong Li, Yanmei Lu, Qiang Xing, Zukela Tuerhong, Yankai Guo, Jiasuoer Xiaokereti, Baopeng Tang

Published in: BMC Cardiovascular Disorders | Issue 1/2024

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Abstract

Background

Leadless pacemakers are a recent technological advancement. It has many advantages, but there are still a few serious complications.

Case presentation

This article reports the case of a patient with an endocardial tear and dissection caused by contact with the tip of the Micra cup during surgery and summarises the relevant data.

Conclusions

This case report details the occurrence and management of the incident and provides some guidance for future clinical management.
Literature
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Piccini JP, El-Chami M, Wherry K, et al. Contemporaneous comparison of outcomes among patients implanted with a Leadless vs Transvenous single-Chamber Ventricular Pacemaker. JAMA Cardiol. 2021;6(10):1187–95.CrossRefPubMed
2.
Garweg C, Vandenberk B, Foulon S, Haemers P, Ector J, Willems R. Leadless pacing with Micra TPS: a comparison between right ventricular outflow tract, mid-septal, and apical implant sites. J Cardiovasc Electrophysiol. 2019;30(10):2002–11.CrossRefPubMed
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Hauser RG, Gornick CC, Abdelhadi RH, et al. Leadless pacemaker perforations: clinical consequences and related device and user problems. J Cardiovasc Electrophysiol. 2022;33(2):154–9.CrossRefPubMedPubMedCentral
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Reynolds D, Duray GZ, Omar R, et al. A Leadless Intracardiac Transcatheter Pacing System. N Engl J Med. 2016;374(6):533–41.CrossRefPubMed
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Hauser RG, Gornick CC, Abdelhadi RH, Tang CY, Casey SA, Sengupta JD. Major adverse clinical events associated with implantation of a leadless intracardiac pacemaker. Heart Rhythm. 2021;18(7):1132–9.CrossRefPubMed
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Chen X, Wang J, Liang Y, Su Y, Ge J. Pericardial effusion caused by accidently placing a Micra transcatheter pacing system into the coronary sinus. BMC Cardiovasc Disord. 2021;21(1):461.CrossRefPubMedPubMedCentral
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Ngo L, Nour D, Denman RA, et al. Safety and Efficacy of Leadless pacemakers: a systematic review and Meta-analysis. J Am Heart Assoc. 2021;10(13):e019212.CrossRefPubMedPubMedCentral
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Hai JJ, Fang J, Tam CC, et al. Safety and feasibility of a midseptal implantation technique of a leadless pacemaker. Heart Rhythm. 2019;16(6):896–902.CrossRefPubMed
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Middour TG, Chen JH, El-Chami MF. Leadless pacemakers: a review of current data and future directions. Prog Cardiovasc Dis. 2021;66:61–9.CrossRefPubMed
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Mitacchione G, Schiavone M, Gasperetti A et al. Sex differences in leadless pacemaker implantation: a propensity-matched analysis from the i-LEAPER registry. Heart Rhythm 2023.
Metadata
Title
A case of endocardial dissection caused by Micra implantation
Authors
Jianghua Zhang
Shuai Shang
Zhenyu Dong
Xianhui Zhou
Yaodong Li
Yanmei Lu
Qiang Xing
Zukela Tuerhong
Yankai Guo
Jiasuoer Xiaokereti
Baopeng Tang
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Cardiovascular Disorders / Issue 1/2024
Electronic ISSN: 1471-2261
DOI
https://doi.org/10.1186/s12872-023-03550-y

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