Leadless Cardiac Pacemaker – Feasibility of a ‘Heavy’ Case

The conventional pacing systems consist of a small size-battery, an electronic circuit and leads. Despite improvements in diagnostic and therapeutic features, transvenous leads remain the weakest link of the pacing system. Nowadays, two types of leadless cardiac pacemaker (LCP) exist leading stimulation from the right ventricle (RV) apex or low septum at the desired lower rate, with rate responsive algorithms. We report our experience with an LCP implant in a severely obese patient and demonstrate the feasibility of the procedure and the excellent telemetric (conductive) communication between the LCP and the programmer despite the critical mass of the patient.