Pacemaker Choices: Anyone have leadless dual-chamber pacemaker?

I realize you’re asking about the dual chamber pacemaker, but I’m commenting in case my experience can be of some help.
Because of my Brady, typical bpm of 40-43 my EP highly recommended in my case, the single chamber Abott Aveir leadless pacemaker, in addition loop recorder under skin for monitoring. It’s been now 3 months since implanted, and my average bpm is consistently 63-67, increases with activity. I’ve had a very good experience so far. He prescribed Flecanide to keep me out of Afib, until I get an ablation next which is scheduled soon. I also take eliquis and metropolol.

Thanks for quick response!
Single chamber leadless pacemaker been around since 2015 but dual from 2023.
My HR getting even lower during resting (below 40 bpm) so after flutter ablation (May 22), 14 days been with Hotler Monitor my cardiologist after seeing results plus seeing some 6 sec. stops recommended a pacemaker which will be implanted in a couple day.
I am ending up with conventual St Jude (Abbott) dual pacemaker.
Like everyone is stating here everyone got own way out but it is great we can share our experience to pick some additional options base on this.

Your question and responses are helpful to me. I am on the path for an ablation due to Afib Flutter. However, if its not successful then a pacemaker. I have read they have no data on ablation success rate for older patients-80+. If I might ask are either of you 80+? I don't need your exact age just range. Trying to find data which I can use in making a decision. I welcom any responses

I am 72 years old and I believe for Flutter Ablation the success rate is pretty high for all ages.
However I got pacemaker implanted last Friday so currently recovering after surgery. I am not sure what is going to be long term effect but at this moment the pacemaker setup at 60 so I don't deal with 40 th and below
anymore which makes a big different to me. I mean I fill much better and safe.

@gratefulally Your post is the first mention I've seen about a loop recorder implanted in addition to a leadless pacemaker, to provide remote monitoring of the leadless pacemaker activity and transmission of the data to the patient's doctor or clinic. I presume this setup is based on the leadless pacemakers not ( until recently) having the capability of remote transmissions similar to those found in many dual chamber traditional pacemakers.

Well, I was curious about this, did some internet searching, and lo and behold, discovered that Abbott has come out with a handheld (manual) transmitter for Aveir leadless pacemakers. This device is intended to collect, and send data from the pacemaker remotely to the doctor or clinic. In other words, it would basically serve the same function as the implantable loop monitor without the need for an additional procedure/surgery during implantation of the pacemaker. This device ( link provided below) is currently available from Abbott, and the patient would also receive detailed instructions for its use.

Just something to think about. From your comments you've already received your pacemaker and loop monitor, so that's already in place. It might be a consideration, though, when it comes time for replacement of the monitor- last I heard those batteries last three years or so, and must be replaced for continued monitoring. Your leadless pacemaker's battery lifespan is a whole lot longer than that ( around 12-15 years?) so it might be a thought to not replace the monitor when it goes, and get a remote monitoring device instead to continue monitoring your pacemaker and heart activity.
https://www.cardiovascular.abbott/us/en/campaigns/aveir-transmitter.html
And just to address your response to @gregkogan's comment about the dual chamber pacemaker, Abbott's Aveir leadless pacemaker does come as a "matched set", so to speak, for people with various conditions who need pacing ( at least on occasion) of both the atria and ventricles. In these conditions, a leadless pacemaker is implanted in each of those chambers, and they communicate with each other to coordinate pacing ( and other activity) that's optimum for each patient. These provide "dual chamber" pacing similar to the traditional pacemakers.
Abbott's marketing folks emphasize to their customers that any of their leadless pacemakers implanted in the ventricle are compatible with their atrial pacemakers, so that if a patient in whom a single leadless pacemaker is placed in the ventricle is found later to need dual chamber pacing, a second pacemaker can be placed in the atrium and wallah, coordinated dual chamber pacing.
Anyway, good luck with your health journey and hope you continue to do well.