{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T13:34:32Z","timestamp":1786714472973,"version":"build-2736575974"},"reference-count":8,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"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":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Wild\u2010type transthyretin cardiac amyloidosis (ATTRwt\u2010CA) can lead to refractory heart failure. A \u201clead paradox\u201d occurs when patients with a Micra leadless pacemaker require lead\u2010based Cardiac Contractility Modulation (CCM) therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Summary<\/jats:title>\n                    <jats:p>We detail the first co\u2010implantation of CCM and Micra devices in a 78\u2010year\u2010old male with ATTRwt\u2010CA and NYHA III heart failure. A multi\u2010view fluoroscopic technique ensured spatial separation, while specific device programming mitigated electrical crosstalk post\u2010procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>At 1 year, the patient stabilized to NYHA Class II without further hospitalizations. This dual\u2010device strategy is a feasible and safe technical roadmap for this complex clinical problem.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jce.70244","type":"journal-article","created":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T07:15:32Z","timestamp":1768029332000},"page":"434-437","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Navigating the Lead Paradox: Successful Co\u2010Implantation of Cardiac Contractility Modulation Device and a Micra Leadless Pacemaker"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5318-4861","authenticated-orcid":false,"given":"Gabriele","family":"Pavani","sequence":"first","affiliation":[{"name":"Cardiac Electrophysiology Unit San Luigi Gonzaga University Hospital Orbassano, Turin Italy"},{"name":"Interventional Cardiology Unit San Luigi Gonzaga University Hospital Orbassano, Turin Italy"},{"name":"Cardiology Department San Luigi Gonzaga University Hospital Orbassano, Turin Italy"},{"name":"University of Turin Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Garrone","sequence":"additional","affiliation":[{"name":"Cardiac Electrophysiology Unit San Luigi Gonzaga University Hospital Orbassano, Turin Italy"},{"name":"Cardiology Department San Luigi Gonzaga University Hospital Orbassano, Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianpaolo","family":"Varalda","sequence":"additional","affiliation":[{"name":"Cardiac Electrophysiology Unit San Luigi Gonzaga University Hospital Orbassano, Turin Italy"},{"name":"Cardiology Department San Luigi Gonzaga University Hospital Orbassano, Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonino","family":"Previti","sequence":"additional","affiliation":[{"name":"Cardiac Electrophysiology Unit San Luigi Gonzaga University Hospital Orbassano, Turin Italy"},{"name":"Cardiology Department San Luigi Gonzaga University Hospital Orbassano, Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Bianco","sequence":"additional","affiliation":[{"name":"Cardiology Department San Luigi Gonzaga University Hospital Orbassano, Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Chinaglia","sequence":"additional","affiliation":[{"name":"Cardiac Electrophysiology Unit San Luigi Gonzaga University Hospital Orbassano, Turin Italy"},{"name":"Interventional Cardiology Unit San Luigi Gonzaga University Hospital Orbassano, Turin Italy"},{"name":"Cardiology Department San Luigi Gonzaga University Hospital Orbassano, Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajh.25819"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1805689"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaccao.2021.07.010"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchf.2018.04.010"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1511643"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euad016"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12031184"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcdd12100380"}],"container-title":["Journal of Cardiovascular 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