A place to pace: Multimodal imaging for atrial leadless pacemaker implantation

HeartRhythm Case Reports 2026 Open access

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Authors: Henry Zheng, Sandeep K Jain, Samir Saba, Aditya Bhonsale, N.A. Mark Estes, Alaa A. Shalaby
DOI: 10.1016/j.hrcr.2026.01.001
Cited by: 0
References: 2

Abstract

The recent approval of a leadless atrial pacemaker (ALP, AVEIR™, Abbott, USA) has enabled the benefits of leadless pacing and afforded renewed interest in standalone atrial pacing in patients with isolated sinus node dysfunction. Per manufacturer’s recommendation, implantation is guided by fluoroscopy and contrast injections to first delineate the anatomy of the right atrial appendage (RAA).1 The ALP is ideally implanted at the base of the RAA where adequate myocardial thickness provides a suitable anchor and minimizes the risk of perforation.

Fields of Study & Subjects

Cardiac pacing and defibrillation studies Atrial Fibrillation Management and Outcomes Cardiac Arrhythmias and Treatments

Publication details

Journal / source
HeartRhythm Case Reports
Volume
12
Issue
4
Pages
432–436
Publication date
10 January 2026
Language
EN