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Leadless pacemaker placement in a patient with chronic kidney disease: A strategy to preserve central veins
Author(s) -
Maradey Joan Alberto,
Jao Geoffrey Te,
Vachharajani Tushar J.
Publication year - 2018
Publication title -
hemodialysis international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.658
H-Index - 47
eISSN - 1542-4758
pISSN - 1492-7535
DOI - 10.1111/hdi.12665
Subject(s) - medicine , hemodialysis , subclinical infection , dialysis , cardiology , kidney disease , stenosis , vascular access , intensive care medicine , surgery
Cardiac rhythm disorder is frequently encountered in hemodialysis patients and is often treated with a cardiovascular implantable electronic device (CIED). The conventional CIED requires placement of transvenous leads resulting in subclinical central venous stenosis, which can adversely affect the successful creation of a permanent dialysis vascular access. The technological advancement of a leadless pacemaker provides an opportunity to implement a strategy to preserve central veins in patients with chronic kidney disease. We report a case of successful placement of a leadless pacemaker in a dialysis patient to preserve the central veins for future vascular access creation.