First Reports of Dual-Chamber Leadless Pacemaker Implantation via Intrajugular Access.

INTRODUCTION

The Aveir Dual-Chamber (DR) is the first entirely intracardiac dual-chamber leadless pacing system. Implantation of this device is typically achieved via femoral access, which may be a significant obstacle in patients with complex femoral vasculature or contraindications to femoral access.

METHODS AND RESULTS

This report describes the world's first three cases of dual-chamber leadless pacemaker implantation via the right internal jugular vein.

CONCLUSIONS

The intrajugular approach is a feasible, safe, and efficient alternative to femoral access for any patient receiving or upgrading to an Aveir DR.