Leadless Pacemakers: Current and Future Applications
Journal Title: Advancements in Cardiovascular Research - Year 2018, Vol 1, Issue 4
Abstract
Since its first prototype proposed in the 1970s [1], pacing technology has progressively developed sophisticated miniaturization of electronic component of device, abolished the need for leads, and greatly improved battery longevity in order to provide greater autonomy. Finally, in 2012, leadless pacemakers became a commercially available alternative to traditional transvenous/epicardial pacing first with the introduction of Nanostim (St. Jude Medical Inc.; now Abbott Medical Inc., Abbott Park, IL, USA) and shortly after with the Micra leadless pacemaker (Medtronic Plc, Minneapolis, MN, USA). The main advantage of leadless pacing technology over traditional pacing technology should essentially be to avoid lead- and pocket-related complications. The incidence of post implant complications has been estimated as high as 10% [2] and it accounts for short term complications (such as pneumothorax, cardiac tamponade, pocket hematoma and lead dislodgement) and long term complications, mostly due to the vulnerable component of the system, the transvenous leads (such as insulation breaches and lead fractures), but also skin erosions, pocket or systemic infections, venous obstruction, tricuspid regurgitation and endocarditis
Authors and Affiliations
E Zimelli, G Morani
Keywords
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- EP ID EP586976
- DOI 10.32474/ACR.2018.01.000119
- Views 70
- Downloads 0
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