{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T09:17:15Z","timestamp":1785403035568,"version":"3.56.0"},"reference-count":6,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:00:00Z","timestamp":1761609600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:00:00Z","timestamp":1761609600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2025,11]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Ebstein's anomaly presents unique pacing challenges due to complex anatomy and surgical history, often leading to transvenous lead complications.<\/jats:p>\n <\/jats:sec>\n \n Case Presentation<\/jats:title>\n A 28\u2010year\u2010old male with Ebstein's anomaly, prior Danielson tricuspid valve repair, and bidirectional Glenn shunt presented with acute ventricular pacing loss from dislodgment of a 4 French SelectSecure Medtronic 3830 lead into the left upper lobe pulmonary artery. An urgent procedure involved inserting an Abbott AVEIR VR leadless pacemaker via the Glenn shunt to the right ventricular apex, achieving stable thresholds (pacing threshold 0.5\u2009V at 0.4\u2009ms, R\u2010wave 8\u2009mV). Multimodal imaging (radiographs, fluoroscopy, angiography, echocardiography) confirmed device position and preserved right ventricular function.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This first confirmed case demonstrates the feasibility and safety of leadless pacemaker insertion via Glenn shunt in complex congenital heart disease, providing a durable alternative to transvenous systems prone to dislodgment.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jce.70165","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T04:31:32Z","timestamp":1761712292000},"page":"3067-3071","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["First Confirmed Case of Leadless Pacemaker Insertion via Bidirectional Glenn Shunt in Ebstein's Anomaly: A Novel Approach to Pacing Challenges"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-6926-5341","authenticated-orcid":false,"given":"Robert S.","family":"Doyle","sequence":"first","affiliation":[{"name":"Department of Cardiology, Mater University Hospital Eccles St. Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9151-3431","authenticated-orcid":false,"given":"Hugo C.","family":"Temperley","sequence":"additional","affiliation":[{"name":"Department of Radiology, St. James Hospital James's St. Dublin Saint James Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cian","family":"Murray","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St. James Hospital James's St. Dublin Saint James Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Walsh","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Mater University Hospital Eccles St. Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,28]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjcr\/ytaa545"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2022.07.035"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ipej.2020.12.003"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2023.02.003"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1511643"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1067\/mtc.2001.113027"}],"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.70165","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jce.70165","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.70165","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T11:11:24Z","timestamp":1777461084000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jce.70165"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,28]]},"references-count":6,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1111\/jce.70165"],"URL":"https:\/\/doi.org\/10.1111\/jce.70165","archive":["Portico"],"relation":{},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"value":"1045-3873","type":"print"},{"value":"1540-8167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,28]]},"assertion":[{"value":"2025-08-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}