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Implantation of a leadless pacemaker with atrioventricular synchronization in a patient with third-degree atrioventricular block and at the time of chemotherapy

The article presents a case of a woman with a third-degree atrioventricular (AV) block and neoplastic process. The selection of a leadless pacemaker (Micra, LP) with AV synchronization is described. By the example of the risk of venous thrombosis and pocket erosion, the use of LP as an alternative to classical endocavitary cardiac stimulation is discussed.
Based on the literature data and our own experience, practical aspects of the procedure were presented. 
The following illustrations are included: ECG with a third-degree AV block, a selected view from fluoroscopy with an implanted leadless pacemaker in the interventricular septum in the heart`s right ventricle, and a postprocedural chest X-ray.

