Percutaneous jugular leadless pacemaker implantation in a pediatric patient

Abstract Introduction Leadless cardiac pacing has not been widely utilized in pediatric patients, in part due to concerns regarding size of the delivery sheath and the potential for vascular injury. Methods We present a case of leadless pacemaker implantation via internal jugular vein without a surgical cutdown. Results A leadless pacemaker was successfully implanted in the right ventricle via internal jugular approach in a pediatric patient with congenital heart disease. Conclusion This is a novel approach to leadless pacemaker implantation that could broaden the utilization of this technology to the vulnerable population of children, especially those with congenital heart disease.