Gabriele Pavani, Antonino Previti, Paolo Garrone, Gianpaolo Varalda, Emma Fratini, Alfonso Franzè, Alessandra Chinaglia
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When Legacy Triumphs: Resolving Leadless Pacemaker Programming Failure Caused by Loop Recorder Interference.
The growing prevalence of co-implanted cardiac electronic devices increases the potential for clinically significant interactions. We describe the case of an 81-year-old man with a Biotronik BIOMONITOR IV implantable loop recorder (ILR) who required a Medtronic MICRA VR leadless pacemaker. Post-implantation, interrogation with the modern Medtronic SmartSync programmer failed due to suspected electromagnetic interference from the ILR. Communication was successfully established using the older Medtronic CareLink 2090 programmer. This report highlights a unique instance of inter-device interference, underscoring the importance of understanding programmer technology and device compatibility in complex clinical scenarios.
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