{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:17:18Z","timestamp":1787015838823,"version":"build-2736575974"},"reference-count":25,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2022,9,12]],"date-time":"2022-09-12T00:00:00Z","timestamp":1662940800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate safety of leadless pacemaker implantation through the internal jugular vein in a larger cohort with longer follow\u2010up. Moreover, feasibility of non\u2010apical pacing as well as relation between pacing site and QRS duration were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Eighty Two consecutive patients, who received a leadless pacemaker though the internal jugular vein, were included. Electrical parameters were measured at regular follow\u2010up and any complications were registered. Paced QRS interval was compared for three pacing sites, RVOT, RV mid septum, and RV apical septum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In all patients, the leadless pacemaker was implanted successfully. In 69 patients, the device was implanted in a non\u2010apical position. In 71% of cases, the device could be deployed at first attempt. The median fluoroscopy time was 4.4 min (range 0.9\u221251) The paced QRS interval was significantly narrower for non\u2010apical pacing sites compared to apical pacing si 156\u00a0 vs. 179\u00a0ms.\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.04, respectively. During mean follow\u2010up of 16 months (range 0\u201343 months), electrical parameters remained stable. Two complications occurred, which could be resolved during the implant procedure. There were no access site related complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The jugular approach for leadless pacemaker implantation is feasible and may avoid vascular complications. It facilitates non\u2010apical positioning of leadless pacemakers leading to a narrower paced QRS interval. The jugular approach allows for immediate post procedural ambulation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pace.14587","type":"journal-article","created":{"date-parts":[[2022,8,29]],"date-time":"2022-08-29T01:59:31Z","timestamp":1661738371000},"page":"1248-1254","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["The jugular approach for leadless pacing: A novel and safe alternative"],"prefix":"10.1111","volume":"45","author":[{"given":"Shmaila","family":"Saleem\u2010Talib","sequence":"first","affiliation":[{"name":"Department of Cardiology Haga Teaching Hospital  the Hague The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent J.","family":"van Driel","sequence":"additional","affiliation":[{"name":"Department of Cardiology Haga Teaching Hospital  the Hague The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanja","family":"Nikolic","sequence":"additional","affiliation":[{"name":"Medtronic Trading  Eindhoven Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harry","family":"van Wessel","sequence":"additional","affiliation":[{"name":"Abbott Medical  Veenendaal Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hellen","family":"Louman","sequence":"additional","affiliation":[{"name":"Department of Cardiology Haga Teaching Hospital  the Hague The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. Jan Willem","family":"Borleffs","sequence":"additional","affiliation":[{"name":"Department of Cardiology Haga Teaching Hospital  the Hague The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeroen","family":"van der Heijden","sequence":"additional","affiliation":[{"name":"Department of Cardiology Haga Teaching Hospital  the Hague The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moniek","family":"Cox","sequence":"additional","affiliation":[{"name":"Department of Cardiology Haga Teaching Hospital  the Hague The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hemanth","family":"Ramanna","sequence":"additional","affiliation":[{"name":"Department of Cardiology Haga Teaching Hospital  the Hague The 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