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Use of Leadless Pacemaker Therapy and Future Perspectives

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1.Please confirm whether you have considered all the clauses above and accept to participate in this survey
Section 1 – Centre Profile, Experience & Infrastructure
2.What is your country of practice?
3.At what type of institution are you working ? Single answer
4.What is the total annual volume of CIED procedures performed at your institution? Single answer (range)
5.What is the total annual volume of overall single- and dual chamber pacemaker at your institution ? Single answer
6.What is the total annual volume of leadless pacemaker implantations (last full calendar year at your institution ? Single answer
7.What is the percentage of overall pacemaker patients receiving Leadless Devices at your centre ? Single answer (range)
8.How many years of experience does your centre have with leadless pacemaker implantation? Single answer
9.Who primarily performs leadless pacemaker implantations at your centre? Multiple answers
10.In which setting are leadless pacemakers typically implanted? Single answer
11.Do you have heart surgery onsite?
Section 2 – Technology & Workflow
12.Which leadless pacemaker systems are currently used at your centre? Multiple answers
13.What imaging modalities are routinely used during implantation? Multiple answers
14.Most common procedural sedation strategy? Single answer
15.Do you obtain vascular access ultrasound guided?
16.What is your preferred access site? Please indicate your distribution in % (Ultrasound guided)
17.What is your most common strategy to close the access site?
18.What is your most common periprocedural strategy for patients on OAC?
19.What is your most common periprocedural use of heparin?
Section 3 – Indications & Patient Selection
20.What are your 3 most common indications/factors for leadless pacemaker implantation at your centre? Choose 3
21.Do you perform leadless pacemaker implantations in patients with previous tricuspid inter-ventions (e.g. TTVR/ttvi)?
22.Are dual-chamber leadless systems routinely offered? Single answer
23.Do you consider battery longevity a limiting factor in deciding for leadless pacing?
Section 4 – Outcomes & Safety
24.Have you observed major periprocedural complications in leadless implantation? Multiple choice
25.What is your current management after battery depletion (EOL) of LLP device?
26.How many chronically implanted leadless devices (implantation >3 month) have you extracted?
27.What is your set up for leadless pacemaker extraction?
28.Do you have a standardised follow-up protocol for Leadless Devices? Multiple answers
Section 5 – Training, Certification & Barriers
29.Is formal training required before independent leadless implantation at your centre? Single answer
30.What are the 3 most important barriers to broader adoption of leadless pacemakers? Multiple answers
Section 6 – Health Economics & Policy
31.How is leadless pacemaker therapy reimbursed in your healthcare system?
32.Does reimbursement influence patient selection at your centre? Single answer
Section 7 – Future Perspectives
33.What do you expect to change in leadless pacemaker use over the next 5 years? Single answer
34.What advances would most promote wider adoption? Choose top 3 answers
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