Concomitant Aveir AR and Micra AV2 Hybrid Leadless Implantation During Infected Pacemaker Extraction
Michael Alston, Sri Nuvvula, Catherine Pham, Julie Thomas, James K. Gabriels, Laurence M. EpsteinABSTRACT
Leadless pacing is an important option for patients with device‐related infections. In those requiring dual‐chamber support, reduced atrial battery longevity due to continuous implant‐to‐implant (i2i) communication remains a concern. While recent software updates now allow for the disablement of i2i communication when clinically appropriate, this mode does not provide atrioventricular synchronous pacing. We describe a case of a hybrid leadless system combining an atrial leadless pacemaker (Aveir AR, Abbott) and a second leadless pacemaker capable of atrial mechanical‐sensed ventricular pacing (Micra AV2, Medtronic) in the setting of extraction of an infected transvenous pacemaker, providing atrial pacing with ventricular backup capability while preserving atrial device longevity.