• Internal medicine · May 2022

    Case Reports

    Leadless Pacemaker Implantation for a Super-elderly Woman with a Mediastinal Tumor.

    • Tomoyuki Kabutoya, Yasushi Imai, Yutaka Aoyama, Shinichi Toriumi, Ayako Yokota, Takahiro Komori, and Kazuomi Kario.
    • Jichi Medical University School of Medicine, Japan.
    • Intern. Med. 2022 May 15; 61 (10): 154515471545-1547.

    AbstractA 95-year-old woman with no cardiac history presented with symptomatic complete atrioventricular block. She underwent temporary cardiac pacing via the cervical vein, but a pacing lead could not be introduced via the usual route because of a mediastinal tumor. A leadless pacemaker (Micra™; Medtronic, Minneapolis, USA) was implanted at the right ventricular septum via the right femoral vein. The procedure time was 40 minutes, with no complications noted. Over the two-year follow-up period, the threshold and impedance remained stable. The implantation of a leadless pacemaker was useful for improving the symptoms of a super-elderly woman with a mediastinal tumor.

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