Reports, Volume 8, Issue 4
December 2025 - 81 articles
Cover Story: Early lead failure in dual-chamber pacemakers is uncommon and often linked to subtle technical details at implantation. In present report, abrupt impedance changes and premature battery depletion coincided with newly detected atrial fibrillation and an ischemic stroke, creating a highly challenging clinical scenario. Complete subclavian vein occlusion and the need for uninterrupted anticoagulation limited conventional options for reimplantation or extraction. Leadless pacing, delivered via femoral access, provided a safe and effective rescue strategy, restoring ventricular pacing despite anatomical and procedural constraints. View this paper
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