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

Demetra Emanuela Rotaru; Alexandru Achim; Bogdan Vasiliu; Irina Sandu; Stefan Horia Rosianu

doi:10.2478/rjc-2025-0041

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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

Romanian Journal of Cardiology

AHEAD OF PRINT

By: Demetra Emanuela Rotaru, Alexandru Achim, Bogdan Vasiliu, Irina Sandu and Stefan Horia Rosianu

Open Access

|Jan 2026

References

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.
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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.
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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.
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DOI: https://doi.org/10.2478/rjc-2025-0041 | Journal eISSN: 2734-6382 | Journal ISSN: 1220-658X

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Language: English

Published on: Jan 12, 2026

Published by: Romanian Society of Cardiology

In partnership with: Paradigm Publishing Services

Publication frequency: 4 issues per year

Keywords:

atrioventricular block

Related subjects:

Surgery,

Pediatrics and juvenile medicine,

Paediatric cardiology

© 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.

AHEAD OF PRINT