BackgroundThe Aveir device allows retrievability and mapping prior to fixation over alternative leadless pacemakers.Case summaryWe describe the first case of Aveir leadless pacemaker implantation into a 44.5 kg, pediatric patient with symptomatic sinus dysfunction. Access by the right internal jugular vein (RIJ) with 1st attempt implantation into the septal location.DiscussionPlacement of the Aveir leadless pacemaker is feasible in a 44.5 kg pediatric patient via a RIJ approach.

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BackgroundLoop recorder implants may have value in pediatric patients; however, size limitations exist due to the risk of erosion.MethodsRetrospective review of five patients who underwent subscapular loop recorder implantation were reviewed.ResultsNo complications occurred. Stable R‐waves were noted but could be positional but with adequate diagnostics provided.ConclusionSubscapular loop recorder implantation is feasible in patients as young as 3 months of age.