Minimizing for Maximum Benefit: An Illustrative Case-Series of Atrial Only Leadless Pacing

James E Ip

doi:10.1111/pace.15138

Minimizing for Maximum Benefit: An Illustrative Case-Series of Atrial Only Leadless Pacing

Pacing Clin Electrophysiol. 2025 Jan;48(1):137-144. doi: 10.1111/pace.15138. Epub 2024 Dec 28.

Author

James E Ip¹

Affiliation

¹ Division of Cardiology, Department of Medicine, Weill Cornell Medicine, New York Presbyterian Hospital, New York, USA.

PMID: 39731706
DOI: 10.1111/pace.15138

Abstract

Leadless pacing technology now includesdedicated atrial helix-fixation leadless pacemakers (LPs), expanding theapplication of leadless devices for patients with sinus node dysfunction andatrioventricular block during sinus rhythm. This first reportedcase-series of atrial LPs describes and discusses the potential use-casescenarios of recently approved helix-fixation atrial LPs. The article highlights important concepts regarding their use, including implantationtechniques, programming, battery conservation, and the low rate of progressionof AV block in patients implanted with AAI(R) pacemakers.

Keywords: Aveir; helix‐fixation; leadless cardiac pacemaker; pacemaker; sinus node dysfunction.

Publication types

Case Reports

MeSH terms

Atrioventricular Block / physiopathology
Atrioventricular Block / therapy
Cardiac Pacing, Artificial* / methods
Equipment Design
Heart Atria* / physiopathology
Humans
Pacemaker, Artificial*
Sick Sinus Syndrome / therapy
Treatment Outcome