Acute Thrombosis During Atrial Leadless Pacemaker Implantation
Bingqi Fu1, Yiran Hu1, Juwei Yang1
1Cardiac Arrhythmic Center, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
JACC. Case Reports
|December 5, 2025
Summary
Acute thrombosis is a rare complication during atrial leadless pacemaker (LP) implantation, potentially occurring in patients with hypercoagulable states or during prolonged procedures. High impedance during mapping can signal this issue.
Area of Science:
- Cardiology
- Medical Devices
- Electrophysiology
Background:
- Atrial leadless pacemakers (LPs) offer physiological pacing but are associated with procedural risks.
- Implantation challenges can arise, particularly in elderly or uncooperative patients.


