“…A leadless pacemaker is a new alternative to the conventional transvenous pacemaker system to minimize CIEDs complications and some other ingenious solutions have been reported. One is submuscular implantation technique, and the other is another implantation site, such as epicardial, iliac, axillary [6], or even in supraspinatus location in patients with no prepectoral access [8]. The option of subpectoralis implant is considered when there is limited subcutaneous tissue to shield the device.…”