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Translational Rabbit Model of Chronic Cardiac Pacing

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Leadless pacing: Going for the jugular.

Shmaila Saleem-Talib¹, Vincent J van Driel¹, Sevasti-Maria Chaldoupi¹

¹Department of Cardiology, Haga Teaching Hospital, The Hague, The Netherlands.

Pacing and Clinical Electrophysiology : PACE

|January 18, 2019

Summary

This summary is machine-generated.

The internal jugular vein (IJV) approach for leadless pacemaker implantation is a safe alternative when the femoral route is unavailable. This study shows successful implantation and stable electrical parameters in most patients.

Keywords:

jugular vein leadless pacing pacemaker

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Area of Science:

Cardiology
Medical Devices
Interventional Procedures

Background:

Leadless pacemakers offer an alternative to traditional pacing systems.
The femoral approach is the standard for leadless pacemaker implantation.
Limited data exist on the efficacy and safety of the jugular venous approach for leadless pacemaker implantation.

Purpose of the Study:

To evaluate the safety and feasibility of leadless pacemaker implantation via the internal jugular vein (IJV).
To assess the outcomes of patients undergoing IJV leadless pacemaker implantation when the femoral approach is not feasible.

Main Methods:

Retrospective analysis of 19 patients who underwent IJV leadless pacemaker implantation (Micra).
Data collected included patient demographics, implant indications, device positioning, procedural parameters, and complications.
Follow-up assessed the stability of electrical parameters.

Main Results:

Successful IJV leadless pacemaker implantation was achieved in 19 patients.
The mean pacing threshold and sensed amplitude were within acceptable ranges, with a mean fluoroscopy time of 3.1 minutes.
No vascular or other complications were reported, and electrical parameters remained stable in 18 patients at follow-up.

Conclusions:

The internal jugular vein approach is a safe and viable alternative for leadless pacemaker implantation.
This approach should be considered in patients for whom the femoral route is contraindicated or unavailable.