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All roads lead to the heart, but not always. A complex case of a hemodialysis patient requiring permanent cardiac pacing, with no vascular access for either conventional or leadless pacemaker implantation Cover

All roads lead to the heart, but not always. A complex case of a hemodialysis patient requiring permanent cardiac pacing, with no vascular access for either conventional or leadless pacemaker implantation

Open Access
|Jan 2026

References

  1. El-Chami MF, Clementy N, Garweg C, Omar R, Duray GZ, Gornick CC, Leyva F, Sagi V, Piccini JP, Soejima K, Stromberg K, Roberts PR. Leadless Pacemaker Implantation in Hemodialysis Patients: Experience With the Micra Transcatheter Pacemaker. JACC Clin Electrophysiol. 2019 Feb;5(2):162-170.
  2. Le, Shuyun MD; Hua, Juan PhD; Kong, Qiling PhD; Chen, Qi PhD. “Challenges” During Leadless Pacemaker Implantation. Cardiology in Review ():10.1097/CRD.0000000000000542, June 05, 2023.
  3. Li YP, Lee CH, Chen JY. Proposed strategies to overcome venous occlusion in the implantation of a cardiac implantable electronic device: A case report and literature review. Front Cardiovasc Med. 2022 Oct 24;9:1005596.
DOI: https://doi.org/10.2478/rjc-2025-0041 | Journal eISSN: 2734-6382 | Journal ISSN: 1220-658X
Language: English
Page range: 54 - 58
Published on: Jan 12, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Demetra Emanuela Rotaru, Alexandru Achim, Bogdan Vasiliu, Irina Sandu, Stefan Horia Rosianu, published by Romanian Society of Cardiology
This work is licensed under the Creative Commons Attribution 4.0 License.