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    <title>In First-of-its-kind Procedure in Mumbai Doctors Implant Leadless Pacemaker through the Neck in 92-Year-Old Woman</title>
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    <description>Leadless pacemaker implantation was performed via the jugular vein after femoral access proved anatomically unsuitable; device selection followed ECG evidence of complete heart block and Doppler imaging to confirm candidacy. The compact intracardiac device was placed in the right ventricle without external leads, chosen for the patient&#039;s small body and heart size. Due to tortuous leg veins and right atrial constraints, the jugular route minimized disruption. The account underscores that leadless pacing is a less invasive option for select older patients but requires careful cardiological evaluation as not all patients qualify.</description>
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      <description>Leadless pacemaker implantation was performed via the jugular vein after femoral access proved anatomically unsuitable; device selection followed ECG evidence of complete heart block and Doppler imaging to confirm candidacy. The compact intracardiac device was placed in the right ventricle without external leads, chosen for the patient&#039;s small body and heart size. Due to tortuous leg veins and right atrial constraints, the jugular route minimized disruption. The account underscores that leadless pacing is a less invasive option for select older patients but requires careful cardiological evaluation as not all patients qualify.</description>
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