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It was reported that the patient presented for an initial implant procedure of an aveir leadless system on (b)(6) 2026.The ventricular leadless pacemaker (vlp) was implanted uneventfully.Upon fixating the atrial leadless pacemaker (alp), it was noted the capture thresholds were high, the pacing impedance was low, and there was no change in the current of injury.The alp was repositioned with similar measurements noted with the added side effect of no capture due to the high thresholds.The physician opted for ventricular pacing only and elected to abandon the alp.Post-procedure the patient reported symptoms of nausea, dizziness, and low blood pressure.Transthoracic echocardiogram (tte) revealed pericardial effusion in the atria with blood being localized to the area indicating a cardiac perforation.A pericardiocentesis was performed to remove the blood and the patient stabilized.No further intervention is planned.
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