# Case Report: Leadless and left bundle branch area pacemakers, complementary advantages require a personalized approach

## TL;DR

This case report discusses how personalized approaches are needed when choosing pacemakers to optimize patient outcomes.

## Contribution

The paper emphasizes the need for a personalized approach in selecting pacemakers to address individual patient risks.

## Key findings

- Traditional transvenous pacemakers carry risks like infection and heart failure.
- Current pacemaker designs do not fully eliminate all associated risks.
- Personalized selection of pacemakers can optimize outcomes for patients.

## Abstract

Traditional transvenous pacemakers consist of a pacemaker generator usually positioned surgically in the upper left chest on the pectoral muscle fascia and one or more leads positioned through the veins to the right atrium and across the tricuspid valve to the right ventricular apex. While these devices reduce symptoms and improve survival among patients with symptomatic bradycardia, they are associated with an increased risk of infection, venous occlusion, heart failure, and tricuspid valve regurgitation. Although new pacemaker designs minimize these risks, none of the current-generation pacemaker designs effectively eliminate all of them. A personalized approach to selecting the appropriate pacemaker for each patient is needed to optimize outcomes.