{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T16:40:35Z","timestamp":1792082435098,"version":"4.4.0"},"reference-count":24,"publisher":"Elsevier BV","issue":"12","license":[{"start":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T00:00:00Z","timestamp":1606780800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T00:00:00Z","timestamp":1606780800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","heartrhythmjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Heart Rhythm"],"published-print":{"date-parts":[[2020,12]]},"DOI":"10.1016\/j.hrthm.2020.05.022","type":"journal-article","created":{"date-parts":[[2020,5,23]],"date-time":"2020-05-23T02:37:26Z","timestamp":1590201446000},"page":"2023-2028","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":35,"title":["Safety of leadless pacemaker implantation in the very elderly"],"prefix":"10.1016","volume":"17","author":[{"given":"Eric","family":"Pagan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Gabriels","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Khodak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart","family":"Beldner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurence M.","family":"Epstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Willner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.hrthm.2020.05.022_bib1","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/S0002-9149(96)90394-X","article-title":"Parsonnet V Survey of cardiac pacing and defibrillation in the United States in 1993","volume":"78","author":"Bernstein","year":"1996","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.hrthm.2020.05.022_bib2","first-page":"1196","article-title":"Long-term prognosis of patients older than ninety years after permanent pacemaker implantation: does the procedure save the patients?","volume":"30","author":"Chao","year":"2014","journal-title":"Can J Cardiol"},{"key":"10.1016\/j.hrthm.2020.05.022_bib3","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1016\/j.hrthm.2011.12.014","article-title":"Incidence and predictors of short- and long-term complications in pacemaker therapy: the FOLLOWPACE study","volume":"9","author":"Udo","year":"2012","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2020.05.022_bib4","doi-asserted-by":"crossref","first-page":"2012","DOI":"10.1111\/j.1540-8159.1994.tb03791.x","article-title":"Early complications after dual chamber versus single chamber pacemaker implantation","volume":"17","author":"Chauhan","year":"1994","journal-title":"Pacing Clin Electrophysiol"},{"key":"10.1016\/j.hrthm.2020.05.022_bib5","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1136\/hrt.73.6.571","article-title":"Early complications of permanent pacemaker implantation: no difference between dual and single chamber systems","volume":"73","author":"Aggarwal","year":"1995","journal-title":"Br Heart J"},{"key":"10.1016\/j.hrthm.2020.05.022_bib6","doi-asserted-by":"crossref","first-page":"1581","DOI":"10.4022\/jafib.1581","article-title":"Leadless pacemakers\u2014implant, explant and long-term safety and efficacy data","volume":"10","author":"Kancharla","year":"2017","journal-title":"J Atr Fibrillation"},{"key":"10.1016\/j.hrthm.2020.05.022_bib7","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1007\/s40119-017-0097-3","article-title":"Leadless pacing: current state and future direction","volume":"6","author":"Merkel","year":"2017","journal-title":"Cardiol Ther"},{"key":"10.1016\/j.hrthm.2020.05.022_bib8","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1016\/j.hjc.2017.05.004","article-title":"Leadless cardiac pacemakers: current status of a modern approach in pacing","volume":"58","author":"Sideris","year":"2017","journal-title":"Hellenic J Cardiol"},{"key":"10.1016\/j.hrthm.2020.05.022_bib9","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1056\/NEJMoa1511643","article-title":"Micra Transcatheter Pacing Study Group. A leadless intracardiac transcatheter pacing system","volume":"374","author":"Reynolds","year":"2016","journal-title":"N Engl J Med"},{"key":"10.1016\/j.hrthm.2020.05.022_bib10","doi-asserted-by":"crossref","first-page":"1125","DOI":"10.1056\/NEJMoa1507192","article-title":"LEADLESS II Study Investigators. Percutaneous implantation of an entirely intracardiac leadless pacemaker","volume":"373","author":"Reddy","year":"2015","journal-title":"N Engl J Med"},{"key":"10.1016\/j.hrthm.2020.05.022_bib11","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1093\/europace\/euv026","article-title":"The rationale and design of the Micra Transcatheter Pacing Study: safety and efficacy of a novel miniaturized pacemaker","volume":"17","author":"Ritter","year":"2015","journal-title":"Europace"},{"key":"10.1016\/j.hrthm.2020.05.022_bib12","doi-asserted-by":"crossref","first-page":"2316","DOI":"10.1109\/TBME.2015.2449320","article-title":"Design and evaluation of a novel fixation mechanism for a transcatheter pacemaker","volume":"62","author":"Eggen","year":"2015","journal-title":"IEEE Trans Biomed Eng"},{"key":"10.1016\/j.hrthm.2020.05.022_bib13","doi-asserted-by":"crossref","first-page":"2510","DOI":"10.1093\/eurheartj\/ehv214","article-title":"Early performance of a miniaturized leadless cardiac pacemaker: the Micra Transcatheter Pacing Study","volume":"36","author":"Ritter","year":"2015","journal-title":"Eur Heart J"},{"key":"10.1016\/j.hrthm.2020.05.022_bib14","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/pace.13894","article-title":"The feasibility of leadless pacemaker implantation for super-elderly patients","volume":"43","author":"Tachibana","year":"2020","journal-title":"Pacing Clin Electrophysiol"},{"key":"10.1016\/j.hrthm.2020.05.022_bib15","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1161\/CIRCOUTCOMES.113.000299","article-title":"Cardiac perforation from implantable cardioverter-defibrillator lead placement: insights from the National Cardiovascular Data Registry","volume":"6","author":"Hsu","year":"2013","journal-title":"Circ Cardiovasc Qual Outcomes"},{"key":"10.1016\/j.hrthm.2020.05.022_bib16","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1111\/j.1540-8159.2007.00943.x","article-title":"Lead perforation: incidence in registries","volume":"31","author":"Carlson","year":"2008","journal-title":"Pacing Clin Electrophysiol"},{"key":"10.1016\/j.hrthm.2020.05.022_bib17","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1111\/j.1540-8159.2007.00575.x","article-title":"Prevalence and characterization of asymptomatic pacemaker and ICD lead perforation on CT","volume":"30","author":"Hirschl","year":"2007","journal-title":"Pacing Clin Electrophysiol"},{"key":"10.1016\/j.hrthm.2020.05.022_bib18","doi-asserted-by":"crossref","first-page":"1828","DOI":"10.1111\/j.1540-8159.1996.tb03234.x","article-title":"Incidence of perforation and other mechanical complications during dual active fixation","volume":"19","author":"Trigano","year":"1996","journal-title":"Pacing Clin Electrophysiol"},{"key":"10.1016\/j.hrthm.2020.05.022_bib19","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1186\/s12877-018-0844-x","article-title":"The effects of pre-existing dementia on surgical outcomes in emergent and nonemergent general surgical procedures: assessing differences in surgical risk with dementia","volume":"18","author":"Kassahun","year":"2018","journal-title":"BMC Geriatr"},{"key":"10.1016\/j.hrthm.2020.05.022_bib20","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1111\/j.1532-5415.2005.53159.x","article-title":"Surgical outcomes for patients aged 80 and older: morbidity and mortality from major noncardiac surgery","volume":"53","author":"Hamel","year":"2005","journal-title":"J Am Geriatr Soc"},{"key":"10.1016\/j.hrthm.2020.05.022_bib21","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/j.jss.2018.03.022","article-title":"Prolonged operative duration is associated with complications: a systematic review and meta-analysis","volume":"229","author":"Cheng","year":"2018","journal-title":"J Surg Res"},{"key":"10.1016\/j.hrthm.2020.05.022_bib22","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.jacep.2019.10.017","article-title":"Atrioventricular synchronous pacing using a leadless ventricular pacemaker: results from the MARVEL 2 study","volume":"6","author":"Steinwender","year":"2020","journal-title":"JACC Clin Electrophysiol"},{"key":"10.1016\/j.hrthm.2020.05.022_bib24","doi-asserted-by":"crossref","unstructured":"El-Chami MF, Bonner M, Holbrook R, et\u00a0al. Leadless pacemakers reduce risk of device-related infection: review of the potential mechanisms [published online ahead of print April 2, 2020]. Heart Rhythm. doi:10.1016\/j.hrthm.2020.03.019.","DOI":"10.1016\/j.hrthm.2020.03.019"},{"key":"10.1016\/j.hrthm.2020.05.022_bib25","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1111\/jce.14390","article-title":"Concomitant leadless pacemaker implantation and lead extraction during an active infection","volume":"31","author":"Chang","year":"2020","journal-title":"J Cardiovasc Electrophysiol"}],"container-title":["Heart Rhythm"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1547527120304562?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1547527120304562?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T06:52:03Z","timestamp":1761547923000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1547527120304562"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12]]},"references-count":24,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["S1547527120304562"],"URL":"https:\/\/doi.org\/10.1016\/j.hrthm.2020.05.022","relation":{},"ISSN":["1547-5271"],"issn-type":[{"value":"1547-5271","type":"print"}],"subject":[],"published":{"date-parts":[[2020,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Safety of leadless pacemaker implantation in the very elderly","name":"articletitle","label":"Article Title"},{"value":"Heart Rhythm","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.hrthm.2020.05.022","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Published by Elsevier Inc. on behalf of Heart Rhythm Society.","name":"copyright","label":"Copyright"}]}}