Single-chamber leadless pacemaker for atrial synchronous or ventricular pacing.
Jo Jo HaiYap-Hang ChanChu Pak LauHung Fat TsePublished in: Pacing and clinical electrophysiology : PACE (2020)
Leadless pacing is a major breakthrough in the management of bradyarrhythmia. Results of initial clinical trials that have demonstrated a significant reduction in acute and long-term pacing-related complications have been confirmed by real-world experience in a broader spectrum of patients. Nonetheless current use of a leadless pacemaker is hampered by its limited atrial sensing and pacing capability, as well as battery life-span and retrievability. We review the current clinical outcome data, indications and contraindications, implantation and retrieval techniques, synchronous ventricular pacing, and other clinical considerations. We also provide an overview of the latest advancements in leadless pacing technology including device-to-device communication and energy harvesting technology.
Keyphrases
- cardiac resynchronization therapy
- left ventricular
- heart failure
- clinical trial
- catheter ablation
- atrial fibrillation
- ejection fraction
- newly diagnosed
- risk factors
- liver failure
- randomized controlled trial
- hepatitis b virus
- mitral valve
- patient reported outcomes
- acute respiratory distress syndrome
- extracorporeal membrane oxygenation
- patient reported
- aortic dissection