Extraction of a Micra Transcatheter Pacing System: First-in-human experience Saima Karim, DO, Medhat Abdelmessih, MD, Mark Marieb, MD, FHRS, Eric Reiner,

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Extraction of a Micra Transcatheter Pacing System: First-in-human experience Saima Karim, DO, Medhat Abdelmessih, MD, Mark Marieb, MD, FHRS, Eric Reiner, DO, Eric Grubman, MD, FHRS HeartRhythm Case Reports Volume 2, Issue 1, Pages 60-62 (January 2016) DOI: 10.1016/j.hrcr.2015.10.001 Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 1 The Micra pacemaker was snared in the right ventricle using a multilobed gooseneck snare, which captured 1 of the fixation tines of the device. HeartRhythm Case Reports 2016 2, 60-62DOI: (10.1016/j.hrcr.2015.10.001) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 2 Two snares were used to capture 2 separate fixation tines on the Micra pacemaker. This allowed the device to be properly aligned so that it could be retracted into the Micra introducer. HeartRhythm Case Reports 2016 2, 60-62DOI: (10.1016/j.hrcr.2015.10.001) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 3 The snares were used in tandem to properly orient the device and allow its retraction into the Micra introducer and subsequent removal from the body. HeartRhythm Case Reports 2016 2, 60-62DOI: (10.1016/j.hrcr.2015.10.001) Copyright © 2016 Heart Rhythm Society Terms and Conditions