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To refer a patient to a Bryan Heart cardiologist or surgeon, call 402-483-3333.

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The Beat:
A Bryan Heart Blog

The Beat is a monthly blog from Bryan Heart cardiologists to keep you informed on trending topics, advancements and news in heart care.

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Published on February 13, 2024

First in the State of Nebraska to Implant Dual Leadless Pacemaker

On January 24, 2024, Bryan Heart’s Dr. Robert Percell was the first in the state of Nebraska to implant a dual chamber leadless pacemaker – the AVEIR™ DR.  The AVEIR™ DR is the world’s first dual chamber leadless pacemaker system that treats people with abnormal or slow heart rhythms.  Roughly one-tenth the size of a traditional pacemaker, the AVEIR™ DR pacing system is made up of two devices that directly pace the right atrium and right ventricle.  It differs from traditional pacemakers in that the leadless devices are implanted directly into the heart through a minimally invasive procedure and eliminates the needs for cardiac leads.  Despite its small size, the atrial and ventricular components communicate with each other to establish continuous, synchronized pacing therapy between the right atrium and the right ventricle.    

Nearly 80% of people who receive a pacemaker need a dual chamber option to pace both chambers of the heart.[1] However, prior to the AVEIR™ DR the only available leadless pacing options had been limited to single chamber ventricular devices because seamless, wireless synchronization of two leadless pacemakers had been a significant technological challenge.

Dr. Percell and Bryan Heart participated in the AVEIR™ DR I2I™ Investigation Device Exemption Study (IDE) in 2022, and served as the only site in Nebraska to contribute to this very important project. 

Abbott's AVEIR DRAs always, Bryan Heart remains committed to partnering with you for the care of your patients. For questions specific to rhythm management, device implants or procedural options please reach out to our Bryan Heart Electrophysiology Department at 402-483-3333.


[1] i. Mond Harry, Proclemer A. The 11th world survey of cardiac pacing and implantable cardioverter defibrillators; calendar year 2009 – a world society of arrhythmia’s project. PACE. August 2011; 34 (8): 1013-1027

percell robert, md 150x200About Robert Percell, MD, FACC, FHRS

Robert Percell, MD, is an electrophysiologist with Bryan Heart. Percell is a graduate of Johns Hopkins University School of Medicine in Baltimore, Maryland. He completed his internal medicine residency at Duke University Medical Center in Durham, North Carolina, a cardiovascular disease fellowship at University of South Florida College of Medicine in Tampa, Florida and a cardiac electrophysiology fellowship at Boston University School of Medicine in Boston, Massachusetts. Percell is board certified by the American Board of Internal Medicine in Cardiovascular Disease and Clinical Cardiac Electrophysiology. He is a fellow of American College of Cardiology and a fellow of Heart Rhythm Society.

View Dr. Percell's physician profile

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