التفاصيل البيبلوغرافية
| العنوان: |
Leadless Pacemakers: Recent and Future Developments. |
| المؤلفون: |
Kroman, Anne, Saour, Basil, Prutkin, Jordan M. |
| المصدر: |
Current Treatment Options in Cardiovascular Medicine; Oct2019, Vol. 21 Issue 10, pN.PAG-N.PAG, 1p |
| مستخلص: |
Purpose of review: Leadless pacemakers were developed to reduce complications associated with transvenous pacemaker implant and long-term follow-up. Since initial market release, however, there have been registry and single-center reports documenting improvements in implant technique, reduced complication rates, and new patient populations studied. Recent findings: Most studies have demonstrated a further reduction in complication rates and safe implant in those on continuous anticoagulation. Perforation rates are decreasing but still occur and risk factors include BMI < 20 kg/m2, age ≥ 85 years, females, history of heart failure, indication not including atrial fibrillation, and chronic lung disease. Device infections are exceedingly rare, even in those undergoing infected transvenous devices at the same time. Summary: For appropriate patients, leadless pacing is a safe and reasonable option, especially if atrial-based sensing or pacing is not needed. Future iterations may include VDD pacing, atrial pacing, dual-chamber pacing, biventricular pacing, and device-device communication. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |