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Review
. 2023 Mar;34(3):748-759.
doi: 10.1111/jce.15785. Epub 2022 Dec 29.

Leadless cardiac ventricular pacing using helix fixation: Step-by-step guide to implantation

Affiliations
Review

Leadless cardiac ventricular pacing using helix fixation: Step-by-step guide to implantation

Balint Laczay et al. J Cardiovasc Electrophysiol. 2023 Mar.

Abstract

Introduction: Leadless cardiac pacemakers are an alternative modality to traditional transvenous pacemaker systems. Recently receiving Food and Drug Administration approval, the AVEIR VR leadless pacemaker system provides a helix based active fixation leadless pacemaker system. This step-by-step review will cover patient selection, preprocedural planning, device implantation technique, implant site evaluation, troubleshooting, short- and long-term complications as well as future directions for leadless pacing.

Methods: We collected and reviewed cases from primary operators to provide a step-by-step review for implanters.

Results: Our paper provides a guide to patient selection, pre-procedural planning, device im plantation technique, implant site evaluation, troubleshooting, short- and long-term complications as well as future directions for leadless pacing.

Conclusion: The helix based active fixation leadless pacemaker system is a safe and efficacious way to provide pacing support to patients and provides an alternative to transvenous pacing systems. Our review provides a step-by-step guide to implantation.

Keywords: arrhythmia; bradycardia; leadless cardiac pacemaker.

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References

REFERENCES

    1. Mond HG, Proclemer A. The 11th world survey of cardiac pacing and implantable cardioverter-defibrillators: calendar year 2009-a World Society of Arrhythmia's Project: 2009 survey cardiac pacemakers and ICDS. Pacing Clin Electrophysiol. 2011;34:1013-1027.
    1. Ellenbogen KA, Hellkamp AS, Wilkoff BL, et al. Complications arising after implantation of DDD pacemakers: the MOST experience. Am J Cardiol. 2003;92:740-741.
    1. Udo EO, Zuithoff NPA, van Hemel NM, et al. Incidence and predictors of short- and long-term complications in pacemaker therapy: the FOLLOWPACE study. Heart Rhythm. 2012;9:728-735.
    1. Kirkfeldt RE, Johansen JB, Nohr EA, Jorgensen OD, Nielsen JC. Complications after cardiac implantable electronic device implantations: an analysis of a complete, nationwide cohort in Denmark. Eur Heart J. 2014;35:1186-1194.
    1. Piccini JP, El-Chami M, Wherry K, et al. Contemporaneous comparison of outcomes among patients implanted with a leadless vs transvenous single-chamber ventricular pacemaker. JAMA Cardiol. 2021;6:1187-1195.

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