Case Report: Sequential leadless pacing after battery depletion in a patient with recurrent device-related infection - Takeaways - MDSpire

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

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  • 1

    Leadless pacemakers are a viable option for patients with recurrent cardiac device infections, reducing infection risk compared to traditional systems.

  • 2

    A 65-year-old patient transitioned from a depleted Micra VR leadless pacemaker to a Micra AV device using a sequential leadless-only strategy.

  • 3

    The sequential implantation was successful, with stable electrical parameters and no complications observed during follow-up.

  • 4

    The leave-in-situ approach minimizes risks associated with device extraction, particularly in patients with a history of infections.

  • 5

    This case represents one of the first reported experiences of sequential leadless pacing in Central Asia, highlighting its feasibility.

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