{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T19:56:51Z","timestamp":1772999811986,"version":"3.50.1"},"reference-count":4,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>We report a rare case of very late dislodgement of a Medtronic SelectSecure 3830 lumenless lead three years after successful left bundle branch area pacing. An 88\u2010year\u2010old patient with permanent atrial fibrillation and bifascicular block underwent VVIR pacemaker implantation in 2022 with excellent initial parameters (threshold 0.8\u2009V at 0.5\u2009ms, impedance 650\u2009\u03a9) and stable follow\u2010up for three years. The patient presented with pre\u2010syncopal episodes, and device interrogation revealed capture failure with elevated threshold (2.25\u2009V\/0.4\u2009ms) and decreased impedance. Fluoroscopic comparison confirmed macro\u2010dislodgement of the lead with coiling in the pacemaker pocket. The SelectSecure lead was successfully extracted and replaced with a conventional stylet\u2010driven lead positioned in the right ventricular mid\u2010septum. This case highlights that late lead dislodgement can occur with lumenless leads even years after successful implantation, emphasizing the need for continued vigilance during long\u2010term follow\u2010up of cardiac physiological pacing systems.<\/jats:p>","DOI":"10.1002\/ccr3.71819","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T07:45:16Z","timestamp":1769672716000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["When Stability Fails: Rare Very Late Dislodgement of 3830 Lead"],"prefix":"10.1002","volume":"14","author":[{"given":"Dilip","family":"Kumar","sequence":"first","affiliation":[{"name":"Manipal Hospital EM Bypass Kolkata  Kolkata India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niladri","family":"Ghosh","sequence":"additional","affiliation":[{"name":"Manipal Hospital EM Bypass Kolkata  Kolkata India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6040-6932","authenticated-orcid":false,"given":"Ashesh","family":"Halder","sequence":"additional","affiliation":[{"name":"Manipal Hospital EM Bypass Kolkata  Kolkata India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rabin","family":"Chakraborty","sequence":"additional","affiliation":[{"name":"Manipal Hospital EM Bypass Kolkata  Kolkata India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7961-1775","authenticated-orcid":false,"given":"Srashti","family":"Kulshrestha","sequence":"additional","affiliation":[{"name":"Manipal Hospital EM Bypass Kolkata  Kolkata India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arnab","family":"De","sequence":"additional","affiliation":[{"name":"Manipal Hospital EM Bypass Kolkata  Kolkata India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,28]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.19102\/icrm.2020.110207"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehac445"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rec.2011.09.025"},{"issue":"2","key":"e_1_2_12_5_1","article-title":"Case Series of Late Lead Dislodgement of Medtronic SelectSecure 3830 Pacing Leads in Growing Paediatric Patients","volume":"5","author":"Ng L. Y.","year":"2021","journal-title":"European Heart Journal"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.71819","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.71819","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.71819","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:23:15Z","timestamp":1772990595000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.71819"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,28]]},"references-count":4,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1002\/ccr3.71819"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.71819","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,28]]},"assertion":[{"value":"2025-09-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71819"}}