Case Study: Implementation of Sequential Leadless Pacing Following Battery Exhaustion in a Patient with Persistent Device-Associated Infections
By
Assel Chinybayeva
Gaziza Marat
Zhanasyl Suleymen
Ayan Abdrakhmanov
July 21, 2026
Clinical Scorecard: Case Study: Implementation of Sequential Leadless Pacing Following Battery Exhaustion in a Patient with Persistent Device-Associated Infections
At a Glance
Category Detail
Condition Leadless Pacemaker Management Key Mechanisms Sequential leadless pacing strategy, leave-in-situ approach Target Population Patients with recurrent cardiac implantable electronic device infections and history of pacing complications Care Setting Cardiology
Key Highlights
Successful sequential implantation of Micra AV leadless pacemaker after battery depletion of Micra VR No device-related complications observed during follow-up Stable electrical parameters maintained post-implantation Atrioventricular synchrony improved over time Periprocedural antibiotic prophylaxis administered to minimize infection risk Guideline-Based Recommendations
Diagnosis
Evaluate history of cardiac pacing and device-related infections Management
Consider sequential leadless pacing strategy in high-risk patients Monitoring & Follow-up
Regular follow-up for electrical parameters and device performance Risks
Potential for mechanical interaction or electrical interference between devices Patient & Prescribing Data
High-risk patients with a history of device-related infections
Leadless-only strategy may be a feasible long-term option
Clinical Best Practices
Administer periprocedural antibiotic prophylaxis Use fluoroscopic guidance for device implantation Ensure spatial separation between implanted devices Related Resources & Content
