Leadless cardiac ventricular pacing using helix fixation: Step-by-step guide to implantation

J Cardiovasc Electrophysiol. 2023 Mar;34(3):748-759. doi: 10.1111/jce.15785. Epub 2022 Dec 29.

Abstract

Introduction: Leadless cardiac pacemakers are an alternative modality to traditional transvenous pacemaker systems. Recently receiving Food and Drug Administration approval, the AVEIR VR leadless pacemaker system provides a helix based active fixation leadless pacemaker system. This step-by-step review will cover patient selection, preprocedural planning, device implantation technique, implant site evaluation, troubleshooting, short- and long-term complications as well as future directions for leadless pacing.

Methods: We collected and reviewed cases from primary operators to provide a step-by-step review for implanters.

Results: Our paper provides a guide to patient selection, pre-procedural planning, device im plantation technique, implant site evaluation, troubleshooting, short- and long-term complications as well as future directions for leadless pacing.

Conclusion: The helix based active fixation leadless pacemaker system is a safe and efficacious way to provide pacing support to patients and provides an alternative to transvenous pacing systems. Our review provides a step-by-step guide to implantation.

Keywords: arrhythmia; bradycardia; leadless cardiac pacemaker.

Publication types

  • Review

MeSH terms

  • Cardiac Pacing, Artificial* / methods
  • Equipment Design
  • Heart Ventricles
  • Humans
  • Pacemaker, Artificial*
  • Treatment Outcome