{"id":"https://openalex.org/W7222019348","doi":"https://doi.org/10.3389/fcvm.2026.1932808","title":"Transjugular implantation of a leadless pacemaker in a 97-year-old patient with severe kyphosis and tortuous femoral veins: a case report","display_name":"Transjugular implantation of a leadless pacemaker in a 97-year-old patient with severe kyphosis and tortuous femoral veins: a case report","publication_year":2026,"publication_date":"2026-10-15","ids":{"openalex":"https://openalex.org/W7222019348","doi":"https://doi.org/10.3389/fcvm.2026.1932808","pmid":"https://pubmed.ncbi.nlm.nih.gov/42959184","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13716600"},"language":"en","primary_location":{"id":"doi:10.3389/fcvm.2026.1932808","doi":"https://doi.org/10.3389/fcvm.2026.1932808","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fcvm.2026.1932808","pdf_url":"https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2026.1932808/pdf","source":{"id":"https://openalex.org/S2595413687","display_name":"Frontiers in Cardiovascular Medicine","issn_l":"2297-055X","issn":["2297-055X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-40","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Cardiovascular Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2026.1932808/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5050723212","display_name":"Minghuan Fu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I150229711","display_name":"University of Electronic Science and Technology of China","ror":"https://ror.org/04qr3zq92","country_code":"CN","type":"education","lineage":["https://openalex.org/I150229711"]},{"id":"https://openalex.org/I4210118397","display_name":"Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital","ror":"https://ror.org/01qh26a66","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210118397"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Ming-Huan Fu","raw_affiliation_strings":["Department of Geriatric Cardiovascular Disease, Sichuan Provincial People\u2019s Hospital, School of Medicine, University of Electronic Science and Technology of China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Geriatric Cardiovascular Disease, Sichuan Provincial People\u2019s Hospital, School of Medicine, University of Electronic Science and Technology of China","institution_ids":["https://openalex.org/I150229711","https://openalex.org/I4210118397"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060557471","display_name":"Xue-Fei Tao","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I150229711","display_name":"University of Electronic Science and Technology of China","ror":"https://ror.org/04qr3zq92","country_code":"CN","type":"education","lineage":["https://openalex.org/I150229711"]},{"id":"https://openalex.org/I4210118397","display_name":"Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital","ror":"https://ror.org/01qh26a66","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210118397"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xue-Fei Tao","raw_affiliation_strings":["Department of Geriatric Cardiovascular Disease, Sichuan Provincial People\u2019s Hospital, School of Medicine, University of Electronic Science and Technology of China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Geriatric Cardiovascular Disease, Sichuan Provincial People\u2019s Hospital, School of Medicine, University of Electronic Science and Technology of China","institution_ids":["https://openalex.org/I150229711","https://openalex.org/I4210118397"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158795458","display_name":"Jie Gao","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I150229711","display_name":"University of Electronic Science and Technology of China","ror":"https://ror.org/04qr3zq92","country_code":"CN","type":"education","lineage":["https://openalex.org/I150229711"]},{"id":"https://openalex.org/I4210118397","display_name":"Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital","ror":"https://ror.org/01qh26a66","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210118397"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jie Gao","raw_affiliation_strings":["Department of Geriatric Cardiovascular Disease, Sichuan Provincial People\u2019s Hospital, School of Medicine, University of Electronic Science and Technology of China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Geriatric Cardiovascular Disease, Sichuan Provincial People\u2019s Hospital, School of Medicine, University of Electronic Science and Technology of China","institution_ids":["https://openalex.org/I150229711","https://openalex.org/I4210118397"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113542097","display_name":"Yong Shi","orcid":"https://orcid.org/0000-0001-7974-1079","observed_orcids":["https://orcid.org/0000-0001-7974-1079","https://orcid.org/0000-0002-3980-1425","https://orcid.org/0009-0003-6037-6309"]},"institutions":[{"id":"https://openalex.org/I150229711","display_name":"University of Electronic Science and Technology of China","ror":"https://ror.org/04qr3zq92","country_code":"CN","type":"education","lineage":["https://openalex.org/I150229711"]},{"id":"https://openalex.org/I4210118397","display_name":"Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital","ror":"https://ror.org/01qh26a66","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210118397"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yong Shi","raw_affiliation_strings":["Department of Geriatric Cardiovascular Disease, Sichuan Provincial People\u2019s Hospital, School of Medicine, University of Electronic Science and Technology of China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Geriatric Cardiovascular Disease, Sichuan Provincial People\u2019s Hospital, School of Medicine, University of Electronic Science and Technology of China","institution_ids":["https://openalex.org/I150229711","https://openalex.org/I4210118397"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101973628","display_name":"Biao Cheng","orcid":"https://orcid.org/0000-0003-4688-5409","observed_orcids":["https://orcid.org/0000-0003-4688-5409"]},"institutions":[{"id":"https://openalex.org/I150229711","display_name":"University of Electronic Science and Technology of China","ror":"https://ror.org/04qr3zq92","country_code":"CN","type":"education","lineage":["https://openalex.org/I150229711"]},{"id":"https://openalex.org/I4210118397","display_name":"Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital","ror":"https://ror.org/01qh26a66","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210118397"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Biao Cheng","raw_affiliation_strings":["Department of Geriatric Cardiovascular Disease, Sichuan Provincial People\u2019s Hospital, School of Medicine, University of Electronic Science and Technology of China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Geriatric Cardiovascular Disease, Sichuan Provincial People\u2019s Hospital, School of Medicine, University of Electronic Science and Technology of China","institution_ids":["https://openalex.org/I150229711","https://openalex.org/I4210118397"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158804980","display_name":"Wei Zhang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I150229711","display_name":"University of Electronic Science and Technology of China","ror":"https://ror.org/04qr3zq92","country_code":"CN","type":"education","lineage":["https://openalex.org/I150229711"]},{"id":"https://openalex.org/I4210118397","display_name":"Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital","ror":"https://ror.org/01qh26a66","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210118397"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Wei Zhang","raw_affiliation_strings":["Department of Geriatric Cardiovascular Disease, Sichuan Provincial People\u2019s Hospital, School of Medicine, University of Electronic Science and Technology of China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Geriatric Cardiovascular Disease, Sichuan Provincial People\u2019s Hospital, School of Medicine, University of Electronic Science and Technology of China","institution_ids":["https://openalex.org/I150229711","https://openalex.org/I4210118397"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5158841710","display_name":"Xiao-Han Chen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I150229711","display_name":"University of Electronic Science and Technology of China","ror":"https://ror.org/04qr3zq92","country_code":"CN","type":"education","lineage":["https://openalex.org/I150229711"]},{"id":"https://openalex.org/I4210118397","display_name":"Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital","ror":"https://ror.org/01qh26a66","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210118397"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xiao-Han Chen","raw_affiliation_strings":["Department of Geriatric Cardiovascular Disease, Sichuan Provincial People\u2019s Hospital, School of Medicine, University of Electronic Science and Technology of China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Geriatric Cardiovascular Disease, Sichuan Provincial People\u2019s Hospital, School of Medicine, University of Electronic Science and Technology of China","institution_ids":["https://openalex.org/I150229711","https://openalex.org/I4210118397"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5158804980"],"corresponding_institution_ids":["https://openalex.org/I150229711","https://openalex.org/I4210118397"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.77906396,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"13","issue":null,"first_page":"1932808","last_page":"1932808"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10598","display_name":"Cardiac pacing and defibrillation studies","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10598","display_name":"Cardiac pacing and defibrillation studies","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11217","display_name":"Cardiac Arrhythmias and Treatments","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10217","display_name":"Cardiac electrophysiology and arrhythmias","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/leadless-pacemaker","display_name":"leadless pacemaker","score":0.9739999771118164},{"id":"https://openalex.org/keywords/internal-jugular-vein","display_name":"internal jugular vein","score":0.7369999885559082},{"id":"https://openalex.org/keywords/severe-kyphosis","display_name":"severe kyphosis","score":0.7639999985694885},{"id":"https://openalex.org/keywords/atrioventricular-block","display_name":"atrioventricular block","score":0.9639999866485596},{"id":"https://openalex.org/keywords/high-grade-atrioventricular-block","display_name":"high-grade atrioventricular block","score":0.6940000057220459},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.515999972820282},{"id":"https://openalex.org/keywords/frailty","display_name":"frailty","score":0.45500001311302185},{"id":"https://openalex.org/keywords/subclavian-access","display_name":"subclavian access","score":0.3919999897480011},{"id":"https://openalex.org/keywords/lateral-decubitus-position","display_name":"lateral decubitus position","score":0.621999979019165},{"id":"https://openalex.org/keywords/fluoroscopic-guidance","display_name":"fluoroscopic guidance","score":0.4830000102519989}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9714999794960022},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.5878000259399414},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5751000046730042},{"id":"https://openalex.org/C2778557577","wikidata":"https://www.wikidata.org/wiki/Q300121","display_name":"Atrioventricular block","level":2,"score":0.39489999413490295},{"id":"https://openalex.org/C125567185","wikidata":"https://www.wikidata.org/wiki/Q3267428","display_name":"Supine position","level":2,"score":0.3626999855041504},{"id":"https://openalex.org/C2777720157","wikidata":"https://www.wikidata.org/wiki/Q7306947","display_name":"Reentry","level":2,"score":0.3402000069618225},{"id":"https://openalex.org/C2778854125","wikidata":"https://www.wikidata.org/wiki/Q368521","display_name":"Femoral vein","level":2,"score":0.3197999894618988},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.3176000118255615},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.2924000024795532},{"id":"https://openalex.org/C79191276","wikidata":"https://www.wikidata.org/wiki/Q7259620","display_name":"Pulsatile flow","level":2,"score":0.2824000120162964},{"id":"https://openalex.org/C2909389395","wikidata":"https://www.wikidata.org/wiki/Q181802","display_name":"Prosthesis Implantation","level":3,"score":0.2791999876499176},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.2680000066757202},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.2515000104904175}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/fcvm.2026.1932808","doi":"https://doi.org/10.3389/fcvm.2026.1932808","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fcvm.2026.1932808","pdf_url":"https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2026.1932808/pdf","source":{"id":"https://openalex.org/S2595413687","display_name":"Frontiers in Cardiovascular Medicine","issn_l":"2297-055X","issn":["2297-055X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-40","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Cardiovascular Medicine","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13716600","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13716600/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13716600/pdf/fcvm-13-1932808.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Cardiovasc Med","raw_type":"Text"},{"id":"pmid:42959184","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42959184","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in cardiovascular medicine","raw_type":"Case Reports"},{"id":"pmh:oai:doaj.org/article:5c0599173765480d8014e5ac40b0b3f0","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/5c0599173765480d8014e5ac40b0b3f0","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Cardiovascular Medicine, Vol 13 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fcvm.2026.1932808","doi":"https://doi.org/10.3389/fcvm.2026.1932808","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fcvm.2026.1932808","pdf_url":"https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2026.1932808/pdf","source":{"id":"https://openalex.org/S2595413687","display_name":"Frontiers in Cardiovascular Medicine","issn_l":"2297-055X","issn":["2297-055X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-40","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Cardiovascular Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9940000176429749}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7222019348.pdf","grobid_xml":"https://content.openalex.org/works/W7222019348.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W1967619173","https://openalex.org/W2094163769","https://openalex.org/W2158557528","https://openalex.org/W2742265701","https://openalex.org/W2753572602","https://openalex.org/W2977682063","https://openalex.org/W2981414419","https://openalex.org/W3026722948","https://openalex.org/W4220946720","https://openalex.org/W4242447534","https://openalex.org/W4403856013","https://openalex.org/W4405326099","https://openalex.org/W4416162162"],"related_works":["https://openalex.org/W2996414553","https://openalex.org/W2410081875","https://openalex.org/W4392901336","https://openalex.org/W4280607627","https://openalex.org/W3198888720","https://openalex.org/W4386037979","https://openalex.org/W1964708310","https://openalex.org/W4410621784","https://openalex.org/W1981708896","https://openalex.org/W4398777497"],"abstract_inverted_index":{"Background:":[0],"Leadless":[1],"pacemaker":[2,112,174],"systems":[3],"offer":[4],"significant":[5,25],"benefits":[6],"for":[7,52,57,182,204],"frail":[8],"older":[9,183],"adults":[10,184],"by":[11],"avoiding":[12],"pocket-":[13],"and":[14,24,46,63,77,101,143,159,179,197],"lead-related":[15],"complications.":[16],"However,":[17],"anatomical":[18,187],"challenges":[19],"including":[20],"severe":[21,41],"spinal":[22],"deformities":[23],"venous":[26],"tortuosity":[27],"can":[28,175],"complicate":[29],"conventional":[30],"transfemoral":[31],"or":[32],"trans-subclavian":[33],"implantation.":[34],"Case":[35],"report:":[36],"A":[37],"97-year-old":[38],"man":[39],"with":[40,88,127,185],"kyphosis,":[42],"tortuous":[43],"femoral":[44,65,103],"veins,":[45],"high-grade":[47],"atrioventricular":[48],"block":[49],"was":[50,60,83,86,113],"referred":[51],"permanent":[53],"pacing.":[54],"Supine":[55],"positioning":[56],"subclavian":[58],"access":[59],"not":[61],"feasible,":[62],"the":[64,89,92,117],"anatomy":[66],"posed":[67],"an":[68,144],"unacceptably":[69],"high":[70],"procedural":[71,78,205],"risk.":[72],"Following":[73],"a":[74,80,128,134,172,177],"multidisciplinary":[75],"assessment":[76,196],"planning,":[79],"transjugular":[81,169],"approach":[82],"selected.":[84],"Implantation":[85],"performed":[87],"patient":[90],"in":[91,207],"left":[93],"lateral":[94],"decubitus":[95],"position,":[96],"using":[97],"adapted":[98],"fluoroscopic":[99],"projections":[100],"temporary":[102],"pacing":[104,135,192],"as":[105],"backup.":[106],"An":[107],"Aveir":[108],"ventricular":[109],"response":[110],"leadless":[111,173],"successfully":[114],"delivered":[115],"via":[116],"right":[118],"internal":[119],"jugular":[120],"vein.":[121],"Final":[122],"device":[123,160],"parameters":[124],"were":[125],"satisfactory,":[126],"sensing":[129],"amplitude":[130],"of":[131,137,146,171,199],"8.5":[132],"mV,":[133],"threshold":[136],"0.5":[138],"V":[139],"at":[140],"0.4":[141],"ms,":[142],"impedance":[145],"510":[147],"\u03a9.":[148],"No":[149],"perioperative":[150],"complications":[151],"occurred.":[152],"At":[153],"follow-up,":[154],"exertional":[155],"dyspnea":[156],"had":[157],"resolved,":[158],"performance":[161],"remained":[162],"stable.":[163],"Conclusion:":[164],"This":[165],"case":[166],"demonstrates":[167],"that":[168,189],"implantation":[170],"be":[176],"safe":[178],"feasible":[180],"alternative":[181],"complex":[186],"limitations":[188],"contraindicate":[190],"standard":[191],"approaches.":[193],"Careful":[194],"preprocedural":[195],"adaptation":[198],"intraoperative":[200],"techniques":[201],"are":[202],"essential":[203],"success":[206],"high-risk":[208],"settings.":[209]},"counts_by_year":[],"updated_date":"2026-11-02T09:45:03.842371","created_date":"2026-10-16T00:00:00"}
