Kardiochirurgia i Torakochirurgia Polska

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3/2026 vol. 23
Letter to the Editor

Transjugular Micra leadless pacemaker implantation complicated by device dislodgement and surgical retrieval: lessons from a rare case

Spyros Papadoulas 1
,
Georgios Leventopoulos 2
,
Panagiotis Kitrou 3
,
Rafail Koros 2
,
Chrysanthi Papageorgopoulou 1
,
Konstantinos Nikolakopoulos 1
,
Francesk Mulita 4
,
Ioannis Panagiotopoulos 5
,
Vasileios Leivaditis 6
,
Periklis Davlouros 2

  1. Department of Vascular Surgery, General University Hospital of Patras, Patras Medical School, Patras, Greece

  2. Department of Cardiology, University Hospital of Patras, Greece

  3. Department of Interventional Radiology, General University Hospital of Patras, Greece

  4. Second Department of Surgery, University Hospital of Alexandroupolis, Medical School, Democritus University of Thrace, Alexandroupolis, Greece

  5. Department of Cardiac Surgery, Ippokrateio General Hospital of Athens, Greece

  6. Department of Cardiothoracic and Vascular Surgery, Westpfalz Klinikum, Kaiserslautern, Germany

Kardiochirurgia i Torakochirurgia Polska 2026; 23 (3): 303-307

DOI: https://doi.org/10.5114/kitp.2026.165173
Data publikacji online: 2026/10/12
Article file
Transjugular Micra.pdf
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  2. El-Chami MF, Higuera L, Longacre C, Stromberg K, Crossley G, Piccini JP. Two-year outcomes of Micra AV leadless pacemakers in the Micra AV CED study. Europace 2024; 26: euae273.
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  9. Grubman E, Ritter P, Ellis CR, Giocondo M, Augostini R, Neuzil P, Ravin- dran B, Patel AM, Omdahl P, Pieper K, Stromberg K, Hudnall JH, Reynolds D; Micra Transcatheter Pacing Study Group. To retrieve, or not to retrieve: system revisions with the Micra transcatheter pacemaker. Heart Rhythm 2017; 14: 1801-1806.
  10. Funasako M, Hála P, Janotka M, Šorf J, Machová L, Petrů J, Chovanec M, Škoda J, Šedivá L, Šimon J, Dujka L, Reddy VY, Neužil P. Transcatheter non-acute retrieval of the tine-based leadless ventricular pacemaker. Europace 2024; 26: euae256.
  11. Dar T, Akella K, Murtaza G, Sharma S, Afzal MR, Gopinathannair R, Augostini R, Hummel J, Lakkireddy D. Comparison of the safety and efficacy of Nanostim and Micra transcatheter leadless pacemaker (LP) extractions: a multicenter experience. J Interv Card Electrophysiol 2020; 57: 133-140.
  12. Golzarian H, Rashid W, Patel SM, Shaikh M, Hakim FA. Using coronary guide catheters with the sheath-in-sheath technique to retrieve a Micra™ Leadless Pacemaker. J Innov Card Rhythm Manag 2024; 15: 5867-5870.
  13. Pak M, Kakita K, Yamasaki T, Hattori T. A case of successful extraction of a micra leadless pacemaker implanted two years prior using the axis-guided dual snare technique. Case Rep Cardiol 2025; 2025: 4729674.
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  15. Garweg C, Vandenberk B, Foulon S, Hermans P, Poels P, Haemers P, Ector J, Willems R. Determinants of the difficulty of leadless pacemaker implantation. Pacing Clin Electrophysiol 2020; 43: 551-557.
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Copyright: © 2026 Polish Society of Cardiothoracic Surgeons (Polskie Towarzystwo KardioTorakochirurgów) and the editors of the Polish Journal of Cardio-Thoracic Surgery (Kardiochirurgia i Torakochirurgia Polska). This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
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