# Intracardiac Echocardiography–Guided Implantation of Aveir VR Leadless Pacemaker

## TL;DR

A new method uses ICE to safely implant a leadless pacemaker in high-risk patients without contrast.

## Contribution

ICE-guided implantation of the Aveir VR pacemaker is demonstrated in a high-risk patient with contrast allergy.

## Key findings

- ICE allowed real-time assessment of right ventricular anatomy during implantation.
- The procedure avoided contrast use, reducing risk in a patient with severe contrast allergy.

## Abstract

Intracardiac echocardiography (ICE) enabled safe, contrast‐free implantation of an Aveir VR leadless pacemaker in a high‐risk patient with severe contrast allergy and prior device infection, allowing real‐time assessment of right ventricular anatomy and myocardial wall thickness to minimize perforation risk.