ArticleEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology2024
Leadless pacemaker implantation via the internal jugular vein.
Article in Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed.
- Alternative pacing strategies after transcatheter tricuspid valve interventions: Procedural challenges and lessons learned.Heart rhythm · 2026Article
- Transjugular Leadless Pacemaker in a Preschool Child With Nickel-Titanium Allergy.JACC. Case reports · 2026Article
- Transjugular Leadless Pacing in Massive Biatrial Dilation: A Straight Path to the Heart.JACC. Case reports · 2026Article
- Cerebral air embolism after implantation of a leadless pacemaker via the right internal jugular vein: a case report.European heart journal. Case reports · 2026Article
- Massive tricuspid regurgitation caused by iatrogenic papillary muscle rupture during leadless pacemaker retrieval: a case report.European heart journal. Case reports · 2026Article
- Jugular Journeys: A Novel Approach for AVEIR Leadless Pacemaker Implantation.Pacing and clinical electrophysiology : PACE · 2026Article
- Leadless pacemaker implantation via right jugular approach in a patient with a bicaval valve system: a case report.European heart journal. Case reports · 2026Article
- Comparison of transjugular and transfemoral approaches for leadless pacemaker implantation in Asian patients: an exploratory study.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026Article
- Extraction of long-term tine-based leadless pacemakers through the jugular approach: two case reports.European heart journal. Case reports · 2026Article
- Initial experience utilizing the right internal jugular vein access for implantation of retrievable leadless pacemakers: safety, efficacy, and efficiency.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026Article
- Micra leadless pacemaker revisions: incidence, characteristics, and outcomes from a multicentre French cohort.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025Article
- [Leadless cardiac pacemaker : Overview, tips, and tricks].Herzschrittmachertherapie & Elektrophysiologie · 2025Review
- Leadless Pacemaker Implantation After Tricuspid Valve Replacement.JACC. Case reports · 2025Article
- Implantation of new VR leadless pacemaker in a 4-year-old, 16-kg patient with complete atrioventricular block.HeartRhythm case reports · 2025Article
- Managing Bradycardia in Patients After Transcatheter Tricuspid Valve Replacement.Structural heart : the journal of the Heart Team · 2025Review
- Cardiac Implantable Electronic Devices and Transcatheter Tricuspid Valve Replacement With the EVOQUE System: A Case-Review Series Highlighting Procedural and Management Considerations.Structural heart : the journal of the Heart Team · 2025Review
- Novel approach to pulmonary vein isolation ablationWorld journal of cardiology · 2025Article
- Leadless pacing: a comprehensive review.European heart journal · 2025Review
- Evolution of leadless pacemaker technology.European heart journal supplements : journal of the European Society of Cardiology · 2025Article
- Leadless pacing in young patients.European heart journal supplements : journal of the European Society of Cardiology · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsLeadless pacemaker therapy was introduced to overcome lead- and pocket-related complications in conventional transvenous pacemaker systems. Implantation via the femoral vein, however, may not always be feasible. The aim of this study was to evaluate leadless pacemaker implantation using a jugular vein approach and compare it to the standard implantation via the femoral vein. METHODS AND
resultsThe records of the first consecutive 100 patients undergoing Micra™ leadless pacemaker implantation via the right internal jugular vein from two centres were included in this study. Peri-procedural safety and efficacy of the jugular approach were compared to the first 100 patients using a femoral implantation approach at the University Hospital Zurich. One hundred patients underwent successful implantation of a leadless pacemaker via the internal jugular vein (mean age, 81.18 ± 8.29, 60% males). Mean procedure time was 35.63 ± 10.29 min with a mean fluoroscopy time of 4.66 ± 5.16 min. The device was positioned at the inferior septum in 25 patients, at the high septum in 24 patients, and mid-septum in 51 patients. The mean pacing threshold was 0.56 ± 0.35 V at 0.24 ms pulse width with a sensed amplitude of 10.0 ± 4.4 mV. At follow-up, electrical parameters remained stable in all patients. Compared with femoral implantation, patients undergoing the jugular approach were of similar age and had similar comorbidities. Mean procedure (48.9 ± 21.0 min) and fluoroscopy times (7.7 ± 7.8 min, both P < 0.01) were shorter compared to the femoral approach. Electrical parameters were similar between the two approaches. There were only two complications during jugular veinous implantations (1 pericardial effusion and 1 dislocation), compared to 16 complications using the femoral approach (1 pericardial effusion, 2 femoral artery injuries, and 13 major groin haematomas).
conclusionThe jugular approach may represent a safe and efficient alternative to femoral implantation of the Micra leadless pacemaker.
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