Peer-Reviewed Publication
Heart Rhythm2026October 16, 2026Journal Article

Evolution of Tined Leadless Pacemaker Implantation: Patient Selection, Implant Volume, Center Characteristics, and Safety Trends.

Jonathan P Piccini1, Lucas Higuera2, Yunshu Yang2, George Crossley3, Mikhael F El-Chami4
1Duke University Medical Center & Duke Clinical Research Institute, Durham, NC, USA,. Electronic address: jonathan.piccini@duke.edu.
2Medtronic, Inc., Minneapolis, MN, USA.
3Vanderbilt University Medical Center, Nashville, TN, USA.
4Emory University School of Medicine, Atlanta, GA, USA.

Abstract

BACKGROUND: As leadless pacing approaches a decade in clinical practice, we sought to assess how device complications have changed over time, and how variations in patient, implanter volume, and facility characteristics are associated with these changes. OBJECTIVE: To examine rates of cardiac perforations after leadless pacemaker implantation over time, and the associations between patient, impla…

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