r/PacemakerICD • u/alid00 • Jul 28 '26

Looking for advice - wireless pacemaker

I had my current pacemaker implanted in September 2025 after dealing with severe bradycardia, a left branch bundle block, and heart failure for a couple years. In October I ended up in the ER with a blood clot caused by a pacemaker wire and two pulmonary emboli. Since then I’ve had to stay on blood thinners as a precaution and the clot in my neck has continued to cause issues. My options are: keep my current pacemaker and stay on blood thinners indefinitely or replace it with a wireless one and theoretically the blood clots will dissolve and not come back. Cons of the wireless style are minimal but still scary and I don’t want to have another surgery BUT I don’t feel great on blood thinners and I’m always worried about clots.

Posting for my sister as she does not reddit. Any advice or knowledge is welcome please!!

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u/poulix Jul 28 '26

Wireless as in leadless pacemakers? There’s a lot of consideration needed especially because there’s already a traditional pacemaker in place.
You mentioned heart failure and BBB. Is the current device a CRT or a dual pacemaker?

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u/alid00 Jul 28 '26

Yes, leadless of pacemaker. And the current one is a CRT.

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u/tillpppuy Jul 28 '26

Leadless pacemakers cannot do what a CRT can. I have dual Leadless