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Dual-Chamber Leadless Pacemaker Implants in the Young.

Akshitha Mamidi1, Daniel Cortez1

  • 1Department of Pediatric Cardiology, University of California at Davis, Sacramento, USA.

Pacing and Clinical Electrophysiology : PACE
|March 21, 2026
PubMed
Summary
This summary is machine-generated.

Dual-chamber leadless pacemakers show feasibility in young patients, offering a less invasive alternative to traditional devices. This study demonstrates successful implantation and monitoring in pediatric patients, suggesting improved longevity.

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Area of Science:

  • Cardiology
  • Biomedical Engineering

Background:

  • Young patients with traditional pacemakers face higher re-intervention rates due to active lifestyles.
  • Dual-chamber leadless pacemakers present a less invasive alternative.
  • Limited data exists on dual-chamber leadless pacemaker implantation in pediatric populations.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of dual-chamber leadless pacemaker implantation in patients under 21 years old.
  • To assess the safety and efficacy of the AVEIR DR system in a young cohort.

Main Methods:

  • Retrospective analysis of five patients under 21 years old who received AVEIR DR dual-chamber leadless pacemakers.
  • Implantation via internal jugular vein (preferred) or femoral approach.
  • Monitoring of atrial and ventricular impedance, threshold, and pacing parameters.

Main Results:

  • Five young patients (median age 15 years) received dual-chamber leadless pacemakers.
  • Internal jugular vein access was utilized in four patients.
  • Median predicted atrial and ventricular longevity were 11.8 and 14.6 years, respectively, with no complications at 13-month follow-up.

Conclusions:

  • Dual-chamber leadless pacemaker implantation is feasible in young patients.
  • Both femoral and internal jugular vein access routes are viable for these procedures.
  • The AVEIR DR system demonstrates promising results for pediatric leadless pacing.