Evidence map›Paper›PMID 41203395›Full record

ArticleJACC. Case reports2025

Atrial Leadless Pacemaker to Replace Atrial Pacing From a Failed Conventional Transvenous Atrial Lead.

Ghazaleh Goldar, Edward M Powers

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Ghazaleh GoldarDivision of Cardiovascular Diseases, University of Iowa, Iowa City, Iowa, USA.
Edward M PowersDivision of Cardiovascular Diseases, University of Iowa, Iowa City, Iowa, USA. Electronic address: Epower11@jh.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeadless atrial pacing provides a novel solution for patients with atrial lead failure where extraction is not feasible. The integration of leadless systems with existing cardiac devices offers a promising approach for managing patients in whom lead extraction is considered too risky. CASE SUMMARY: A 73-year-old man with heart block, after having undergone cardiac resynchronization therapy pacemaker implantation 10 years ago, presented with atrial lead failure. Owing to recent double-lung transplantation and high surgical risk, lead extraction was avoided. A leadless atrial pacemaker was successfully implanted, restoring atrioventricular synchrony by using the atrial sensing from the existing right atrial lead. DISCUSSION: This case demonstrates the integration of conventional right atrial lead sensing with leadless pacing technology, offering a safe and effective alternative when lead extraction is too risky. TAKE-HOME MESSAGE: Leadless atrial pacing integrated with existing cardiac device leads offers a safe and effective alternative for restoring atrioventricular synchrony in high-risk patients in whom lead extraction or revision is not feasible.

Indexed as

AV synchronyleadless pacemakerpacemaker malfunctiontransvenous pacemaker

Identifiers

PMID41203395
PMCPMC12790192

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.