Related Experiment Video
Updated: Feb 5, 2026
06:04
Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
606
Jugular Journeys: A Novel Approach for AVEIR Leadless Pacemaker Implantation.
Shmaila Saleem-Talib1, Crispijn P R Hoevenaars1, Ilja M Blok1
1Department of Cardiology, Haga Teaching Hospital, The Hague, The Netherlands.
Pacing and Clinical Electrophysiology : PACE
|February 3, 2026
Summary
Implanting the AVEIR leadless pacemaker (LP) via the jugular vein is safe and feasible, showing stable electrical performance. This jugular approach for AVEIR LP offers a viable alternative for patients needing pacemakers.
Area of Science:
- Cardiology
- Medical Devices
- Interventional Procedures
Background:
- The jugular vein approach for leadless pacemaker (LP) implantation presents potential benefits over the femoral route.
- Limited data exists on the safety and feasibility of implanting the larger AVEIR LP via the jugular vein.
Purpose of the Study:
- To evaluate the procedural safety and short-term clinical outcomes of AVEIR ventricular LP implantation using the internal jugular vein (IJV).
Main Methods:
- Consecutive patients undergoing AVEIR LP implantation via the IJV were included.
- Procedural details, device electrical parameters, and complications were collected from electronic health records.
Main Results:
- Implantation was successful in 17 out of 18 patients (94%).
- Median follow-up was 9.9 months with stable electrical parameters and an estimated battery longevity of 16 years.
- Two minor complications occurred; no vascular complications were observed.
Conclusions:
- AVEIR ventricular LP implantation via the IJV is safe and feasible with stable short-term electrical performance.
- Using the delivery sheath to create a sharper curve can facilitate the procedure, especially in smaller hearts.
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