{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T04:28:15Z","timestamp":1787113695083,"version":"build-2736575974"},"reference-count":14,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"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":["Pacing Clinical Electrophis"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Prior reports of internal jugular vein (IJV) access for implantation of leadless pacemakers (LLPM) are primarily small series and for ventricular LLPM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe outcomes of consecutive patients undergoing IJV access for both atrial and ventricular LLPM implantation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This observational multicenter study included 32 consecutive patients (17 female; 69 \u00b1 14 years; range 17\u201391) undergoing LLPM implantation via IJV access. Dual chamber LLPM was implanted in 16 patients, right ventricular (RV) only in 13, and right atrial (RA) only in 3. Electrical parameters were measured at implantation, 7\u201310 days post implantation, and at last follow\u2010up (mean 215 \u00b1 98 days).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>IJV access was successful in all patients. Mean procedure and fluoroscopy times were 82 \u00b1 40 and 16 \u00b1 9 min, respectively. RV implant required 1.3 \u00b1 0.6 deployments with mean of 21 min and RA implant required 1.6 \u00b1 0.9 deployments with mean of 31 min. Electrical parameters were excellent. Current of injury for the RA LLPM is the primary indicator of engagement of the atrial myocardium. Two device\u2010related complications occurred without clinical sequelae; no late complications were observed. Fifteen patients were discharged the same day.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>IJV access for atrial and ventricular LLPM implantation is safe and effective across a broad age range and is an alternative to FV access, enabling same\u2010day discharge and early ambulation. Elevated acute atrial capture thresholds with robust current of injury should not prompt repositioning, as thresholds significantly improve at early follow\u2010up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pace.70400","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T04:22:11Z","timestamp":1787113331000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Atrial and Ventricular Leadless Pacemaker Implantation Using the Internal Jugular Vein: A Multicenter Experience"],"prefix":"10.1111","author":[{"given":"Dilesh","family":"Patel","sequence":"first","affiliation":[{"name":"TriHealth Heart &amp; Vascular Institute, Hatton Research Institute Bethesda North Hospital  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3395-9385","authenticated-orcid":false,"given":"Daniel","family":"Cortez","sequence":"additional","affiliation":[{"name":"University of California Davis Medical Center  Sacramento California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8505-9233","authenticated-orcid":false,"given":"John J.","family":"Lee","sequence":"additional","affiliation":[{"name":"Baptist Health Lexington  Lexington Kentucky USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaurang","family":"Gandhi","sequence":"additional","affiliation":[{"name":"TriHealth Heart &amp; Vascular Institute, Hatton Research Institute Bethesda North Hospital  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hemal","family":"Shah","sequence":"additional","affiliation":[{"name":"TriHealth Heart &amp; Vascular Institute, Hatton Research Institute Bethesda North Hospital  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marshall","family":"Winner","sequence":"additional","affiliation":[{"name":"TriHealth Heart &amp; Vascular Institute, Hatton Research Institute Bethesda North Hospital  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Canterbury","sequence":"additional","affiliation":[{"name":"TriHealth Heart &amp; Vascular Institute, Hatton Research Institute Bethesda North Hospital  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad","family":"Athar","sequence":"additional","affiliation":[{"name":"TriHealth Heart &amp; Vascular Institute, Hatton Research Institute Bethesda North Hospital  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taraneh","family":"Zamani","sequence":"additional","affiliation":[{"name":"TriHealth Heart &amp; Vascular Institute, Hatton Research Institute Bethesda North Hospital  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed Najdat","family":"Seijari","sequence":"additional","affiliation":[{"name":"TriHealth Heart &amp; Vascular Institute, Hatton Research Institute Bethesda North Hospital  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eshaan","family":"Gandhi","sequence":"additional","affiliation":[{"name":"TriHealth Heart &amp; Vascular Institute, Hatton Research Institute Bethesda North Hospital  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fawaad","family":"Athar","sequence":"additional","affiliation":[{"name":"TriHealth Heart &amp; Vascular Institute, Hatton Research Institute Bethesda North Hospital  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan","family":"Clippinger","sequence":"additional","affiliation":[{"name":"TriHealth Heart &amp; Vascular Institute, Hatton Research Institute Bethesda North Hospital  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Abbott Laboratories  Abbott Park Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3580-2092","authenticated-orcid":false,"given":"Emile G.","family":"Daoud","sequence":"additional","affiliation":[{"name":"TriHealth Heart &amp; Vascular Institute, Hatton Research Institute Bethesda North Hospital  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001187"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2024.08.077"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2021.2621"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.125.042471"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.15620"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2023.05.030"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.16241"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/pace.70147"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/pace.70080"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.16572"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/pace.15129"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2025.03.022"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2017.07.014"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2300080"}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.70400","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pace.70400","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.70400","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T04:22:13Z","timestamp":1787113333000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pace.70400"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,18]]},"references-count":14,"alternative-id":["10.1111\/pace.70400"],"URL":"https:\/\/doi.org\/10.1111\/pace.70400","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"value":"0147-8389","type":"print"},{"value":"1540-8159","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,18]]},"assertion":[{"value":"2026-07-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"pace.70400"}}