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Advanced helix‐fixation leadless cardiac pacemaker implantation techniques to improve success and reduce complications

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Leadless cardiac pacemakers (LCPs) are becoming more commonly utilized because of their potential advantages (i.e., reduced short and long‐term complications, improved patient comfort) and may be the preferred option for… Click to show full abstract

Leadless cardiac pacemakers (LCPs) are becoming more commonly utilized because of their potential advantages (i.e., reduced short and long‐term complications, improved patient comfort) and may be the preferred option for patients with venous access problems, high‐risk for infection, previous lead fractures, or skin erosion. There are currently two types of LCP fixation mechanisms that have been FDA approved—Medtronic's Micra system has a tine‐based fixation and Abbott's Aveir system has a helix‐fixation design. This article highlights important tips and tricks for a successful implant of a helix‐fixation LCP, particularly when difficulties are encountered, and provides precautions to avoid potential complications.

Keywords: helix fixation; fixation leadless; leadless cardiac; cardiac pacemaker; advanced helix; fixation

Journal Title: Journal of Cardiovascular Electrophysiology
Year Published: 2023

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