Successful Leadless Pacemaker Implantation Despite SVC Obstruction

Authors

Naveen Vuppuluri, Henry Ford HealthFollow
Tarek Makki, Henry Ford HealthFollow
Firas Zahwe, Henry Ford HealthFollow

Recommended Citation

Vuppuluri N, Makki T, and Zahwe F. Successful Leadless Pacemaker Implantation Despite SVC Obstruction. JACC Case Rep 2025; 30(11):103364.

Document Type

Article

Publication Date

5-21-2025

Publication Title

JACC Case Rep

Abstract

BACKGROUND: A 69-year-old male underwent implantation of a leadless pacemaker after a failed attempt to upgrade his single lead ICD in the setting of SVC obstruction.

CASE SUMMARY: A 69-year-old male with ischemic cardiomyopathy status post single chamber ICD presented with fatigue. Device interrogation revealed increased RV pacing. Device upgrade was attempted; however, he was found to have a SVC obstruction. A leadless pacemaker was subsequently placed in the right atrium via femoral approach.

DISCUSSION: Permanent leadless pacemakers provide a safe, less invasive alternative for patients with conditions that would have previously required complex interventions. Our case demonstrates the use of a leadless pacemaker in a patient with SVC obstruction and ESRD, offering lower infection risk and benefit of retrievability.

PubMed ID

40409840

Volume

30

Issue

11

First Page

103364

Last Page

103364