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AVEIR™ DR Dual Chamber Leadless Pacemaker System vs. Traditional Transvenous Pacemakers: New Evidence Highlights Safety, Performance, and Patient Outcomes

Abbott Cardiac Rhythm Management | February 2, 2026

Dual chamber leadless pacemakers (LPs) have entered a transformative era — one defined not only by technological advancement, but by robust, real- world clinical outcomes. As more clinicians reevaluate conventional pacing strategies, the central question has become increasingly important: how do dual chamber leadless pacemakers truly compare to traditional transvenous pacemakers in real-world patient populations?

New evidence presented at APHRS 2025 provides a clear understanding of this comparison, offering a real-world insight into the safety and pacing performance of the AVEIR™ DR Dual Chamber LP System compared to traditional transvenous pacing.

Fewer Complications, Fewer Reinterventions, and Comparable Mortality

In the large, real-world Coverage with Evidence Development (CED) analysis evaluating 759 AVEIR DR Dual Chamber LP System patients versus 77,422 dual chamber transvenous patients, AVEIR DR Dual Chamber LP System demonstrated:

41% lower rate of overall chronic complications at
6 months

52% lower rate of device-related complications at
6 months

51% lower rate of overall device reinterventions at 6 months

Comparable all-cause mortality at 30 days and
6 months

Exceptional Performance Even in Younger, Active Patients

12-month data from the IDE study evaluating the performance of AVEIR DR Dual Chamber LP System in patients <65 years vs ≥65 years demonstrated that AVEIR DR performs exceptionally well even in younger, more active patients, including:

Greater than 99% implant success 

100% atrioventricular (AV) synchrony at 3 months (<65 yr)

Significantly higher complication-free rates (91% vs 83%) compared to
older group

Significantly higher atrial success rate (97% vs 90%) compared to
older group

The above results are especially notable given the increased pacing demands, higher activity levels, and elevated peak heart rates often seen in younger patients.

Together, the evidence reinforces that dual chamber leadless pacing with AVEIR DR LP System delivers meaningful improvements in safety, performance, and patient outcomes . AVEIR DR delivers fewer complications, fewer reinterventions, and dependable AV synchrony—even in younger, active patients who require durable long-term pacing.

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