Leadless pacemakers (LP) are associated with a lower risk of revision compared with transvenous pacemakers. However, LPs implantation is associated with a 0.6% risk of complication at the femoral vein puncture site (e.g. arteriovenous fistula, haemorrhage, pseudoaneurysm, etc.). As a consequence, the need for prolonged in-hospital monitoring after LP implantation though the right femoral (RF)vein is a barrier to same-day discharge. Recently, right internal jugular (RIJ) vein access has emerged an alternative to right RF vein access for LP implantation (with a regulatory approval for MEDTRONIC Micra LP). The aims of this registry are the following : * evaluate the feasibility of RIJ access for LP implantation; * confirm the acute and chronic safety of RIJ access for LP implantation; * compare RIJ to RF (historical cohort) vein access regarding procedural characteristics and outcomes; * evaluate the feasibility of same-day discharge avec LP implantation through the RIJ vein.
Study Type
OBSERVATIONAL
Enrollment
200
Leadless pacemaker implantation through right internal jugular vein
Angers University Hospital
Angers, France
Caen University Hospital
Caen, France
Grenoble University Hospital
Grenoble, France
Lille University Hospital
Lille, France
Lyon University Hospital
Lyon, France
Metz-Thionville Regional Hospital
Metz, France
Le Millénaire Private Hospital
Montpellier, France
Les Franciscaines Private Hospital
Nîmes, France
Rennes University Hospital
Rennes, France
La Réunion University Hospital
Saint Pierre de La Réunion, France
...and 3 more locations
Rate of effective of jugular access
Feasibility of jugular access for leadless pacemaker implantation, defined as the percentage of patients with a successful leadless pacemaker implantation through the jugular vein.
Time frame: [0 - 1 Month]
Rate of effective same-day discharge
Feasibility of same-day discharge after implantation of a leadless pacemaker through the jugular vein, defined as a successful same-day discharge with no readmission during the first postoperative month.
Time frame: [0 - 1 Month]
Incidence of major cardiovascular event
Incidence of major complications related to the implantation of a leadless through the jugular vein: * pericardial complications (effusion, tamponade, pericardiocentesis) * jugular venous complications (bleeding, hematoma, arteriovenous fistula, vascular surgery) * carotid artery complications (bleeding, transient ischemic attack or stroke, vascular surgery) * pacemaker malfunction * infection * cardiac rhythm complications (atrioventricular block, ventricular fibrillation ou tachycardia, cardiac arrest) * air embolism
Time frame: [0 - 12 Month]
Description of procedural characteristics
Procedural characteristics of leadless pacemaker implantation through the jugular vein (duration, position, number of attempts, ...).
Time frame: During implantation procedure
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