{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T12:04:03Z","timestamp":1785240243598,"version":"3.55.0"},"reference-count":12,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"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":["Pacing Clinical Electrophis"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Pacing\u2010induced cardiomyopathy (PICM) is an important cause of the left ventricular systolic disfuction in patients with chronic high\u2010burden right ventricular pacing. Recent evidence suggests that an upgrade to Left bundle branch pacing (LBBP) may confer benefit in PICM. Leadless pacemakers (LPs), represented by the Micra AV device, are widely applied in the treatment of bradyarrhythmias due to their minimal trauma and low complication rates. However, high burden right ventricular pacing (RVP) from Micra AV implantion may still induce PICM, and there is a lack of mature experience in the extraction of Micra AV devices combined with LBBP upgrade. The case report aims to introduce a feasible strategy for Micra AV extraction and subsequent LBBP upgrade in patients with PICM. The dual\u2010snare technique is a safe and effective method for minimally invasive extraction of Micra AV leadless pacemakers.<\/jats:p>","DOI":"10.1111\/pace.70314","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T11:44:15Z","timestamp":1785239055000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Extraction of Micra Leadless Pacemaker and Upgrade to Left Bundle Branch Pacing: A Case Report"],"prefix":"10.1111","author":[{"given":"Ying","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Cardiology Putuo Hospital, Shanghai University of Traditional Chinese Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ke","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardiology Putuo Hospital, Shanghai University of Traditional Chinese Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ao Li","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiology Putuo Hospital, Shanghai University of Traditional Chinese Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Cardiology Putuo Hospital, Shanghai University of Traditional Chinese Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xueying","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Shanghai Institute of Cardiovascular Diseases, National Clinical Research Center for Interventional Medicine Zhongshan Hospital of Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1845-525X","authenticated-orcid":false,"given":"Zhongjun","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Cardiology Putuo Hospital, Shanghai University of Traditional Chinese Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"issue":"1","key":"e_1_2_12_2_1","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1007\/s10840-019-00602-2","article-title":"Incidence and Predictors of Pacemaker\u2010Induced Cardiomyopathy With Comparison Between Apical and Non\u2010Apical Right Ventricular Pacing Sites","volume":"56","author":"Bansal R.","year":"2019","journal-title":"Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing"},{"issue":"2","key":"e_1_2_12_3_1","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1111\/pace.14929","article-title":"Cardiac Resynchronization Therapy for Pacing Induced Cardiomyopathy: Role of Baseline Right Ventricular Pacing Burden","volume":"47","author":"Shahab A.","year":"2024","journal-title":"Pacing and Clinical Electrophysiology"},{"issue":"2","key":"e_1_2_12_4_1","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.ipej.2021.12.001","article-title":"Efficacy and Safety of Leadless Pacemaker: A Systematic Review, Pooled Analysis and Meta\u2010analysis","volume":"22","author":"Darlington D.","year":"2022","journal-title":"Indian Pacing and Electrophysiology Journal"},{"issue":"9","key":"e_1_2_12_5_1","doi-asserted-by":"crossref","first-page":"e17","DOI":"10.1016\/j.hrthm.2023.03.1538","article-title":"2023 HRS\/APHRS\/LAHRS Guideline on Cardiac Physiologic Pacing for the Avoidance and Mitigation of Heart Failure","volume":"20","author":"Chung M. K.","year":"2023","journal-title":"Heart Rhythm"},{"issue":"12","key":"e_1_2_12_6_1","first-page":"1736.e1","article-title":"A Novel Pacing Strategy With Low and Stable Output: Pacing the Left Bundle Branch Immediately Beyond the Conduction Block","volume":"33","author":"Huang W.","year":"2017","journal-title":"The Canadian Journal of Cardiology"},{"issue":"7","key":"e_1_2_12_7_1","doi-asserted-by":"crossref","first-page":"1096","DOI":"10.1111\/jce.13956","article-title":"The Characteristics of the Electrocardiogram and the Intracardiac Electrogram in Left Bundle Branch Pacing","volume":"30","author":"Chen X.","year":"2019","journal-title":"Journal of Cardiovascular Electrophysiology"},{"issue":"1","key":"e_1_2_12_8_1","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.hroo.2020.03.002","article-title":"Left Bundle Branch Pacing Is the Best Approach to Physiological Pacing","volume":"1","author":"Padala S. K.","year":"2020","journal-title":"Heart Rhythm O2"},{"issue":"12","key":"e_1_2_12_9_1","doi-asserted-by":"crossref","first-page":"1791","DOI":"10.1016\/j.hrthm.2019.06.016","article-title":"A Beginner's Guide to Permanent Left Bundle Branch Pacing","volume":"16","author":"Huang W.","year":"2019","journal-title":"Heart Rhythm"},{"issue":"2","key":"e_1_2_12_10_1","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCEP.120.009261","article-title":"Long\u2010Term Safety and Feasibility of Left Bundle Branch Pacing in a Large Single\u2010Center Study","volume":"14","author":"Su L.","year":"2021","journal-title":"Circulation Arrhythmia and Electrophysiology"},{"issue":"2","key":"e_1_2_12_11_1","first-page":"ii36","article-title":"The Feasibility and Safety of Left Bundle Branch Pacing vs. right Ventricular Pacing After Mid\u2010long\u2010term Follow\u2010up: A Single\u2010centre Experience","volume":"22","author":"Chen X.","year":"2020","journal-title":"Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology: Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology"},{"key":"e_1_2_12_12_1","article-title":"Randomized Trial of Left Bundle Branch Pacing vs Right Ventricular Pacing in Vulnerable Cardiac Function","volume":"26","author":"Qiu N.","year":"2026","journal-title":"Journal of the American College of Cardiology"},{"key":"e_1_2_12_13_1","doi-asserted-by":"crossref","DOI":"10.3389\/fcvm.2021.674452","article-title":"Feasibility and Outcomes of Upgrading to Left Bundle Branch Pacing in Patients With Pacing\u2010Induced Cardiomyopathy and Infranodal Atrioventricular Block","volume":"8","author":"Ye Y.","year":"2024","journal-title":"Frontiers in Cardiovascular Medicine"}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.70314","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pace.70314","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.70314","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T11:44:18Z","timestamp":1785239058000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pace.70314"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,28]]},"references-count":12,"alternative-id":["10.1111\/pace.70314"],"URL":"https:\/\/doi.org\/10.1111\/pace.70314","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"value":"0147-8389","type":"print"},{"value":"1540-8159","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,28]]},"assertion":[{"value":"2026-01-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"pace.70314"}}