A First-in-Human Complete Insertion of Single-Chamber Cardiac Pacemaker Using Ultrasound.

Pacemaker insertion incurs significant costs for fluoroscopy machines and operator-related musculoskeletal injuries from long-term use of radiation protection equipment. Moreover, there are small potential risks to patients from pneumothorax, lead dislodgment, and cardiac perforation. We report a first-in-human case report of successful pacemaker insertion performed entirely with ultrasound. (Level of Difficulty: Advanced.).