Key result
Transcarotid implantation of a leadless pacemaker provides a strategy to avoid traditional transvenous lead complications in a patient with Fontan circulation.
Why the study?
Permanent transvenous pacing requires long-term leads that increase risks of infection, thrombosis, and vessel stenosis, whereas leadless pacemakers can reduce such complications.
Reports the use of transcarotid implantation of a leadless pacemaker in a patient with Fontan circulation.
May offer an alternative access route in Fontan patients; leaves open safety, durability, and broader applicability.
Cardiac pacing is a well-established therapy for symptomatic bradycardia and high-grade atrioventricular (AV) block. Permanent transvenous pacing traditionally has necessitated the implantation of long-term leads, raising the risk of complications such as infection, thrombosis, and vessel stenosis. Leadless pacemakers have been welcomed as a way to reduce such complications in selected patients.
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Calvert et al. (2022) studied this question. Transcarotid implantation of a leadless pacemaker provides a strategy to avoid traditional transvenous lead complications in a patient with Fontan circulation.
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