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Leadless pacemakers – The path to safer pacing?

Endocardial transvenous permanent pacemakers (TVPs) are a mainstay within cardiology and used to treat a range of bradyarrhythmias. However, their use is associated with potential complications both at the time of implantation and longer term. The concept of a leadless pacemaker, where a self-contai...

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Detalles Bibliográficos
Autores principales: Nadarajah, Ramesh, Ali, Noman, Patel, Peysh A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136320/
https://www.ncbi.nlm.nih.gov/pubmed/32248913
http://dx.doi.org/10.1016/j.ihj.2019.11.255
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author Nadarajah, Ramesh
Ali, Noman
Patel, Peysh A.
author_facet Nadarajah, Ramesh
Ali, Noman
Patel, Peysh A.
author_sort Nadarajah, Ramesh
collection PubMed
description Endocardial transvenous permanent pacemakers (TVPs) are a mainstay within cardiology and used to treat a range of bradyarrhythmias. However, their use is associated with potential complications both at the time of implantation and longer term. The concept of a leadless pacemaker, where a self-contained device is placed within the right ventricle, has obvious attractions. Two leadless systems have been developed, though only one is currently available. Results from clinical trials have been promising but a number of hurdles need to be circumvented before leadless devices can usurp TVPs. At present, use is restricted to specialist centres, for a limited indication and for patients in whom conventional implantation is contraindicated. This article provides a contemporary critique of design types, evidence base and existing limitations of this nascent technology.
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spelling pubmed-71363202020-11-01 Leadless pacemakers – The path to safer pacing? Nadarajah, Ramesh Ali, Noman Patel, Peysh A. Indian Heart J Review Article Endocardial transvenous permanent pacemakers (TVPs) are a mainstay within cardiology and used to treat a range of bradyarrhythmias. However, their use is associated with potential complications both at the time of implantation and longer term. The concept of a leadless pacemaker, where a self-contained device is placed within the right ventricle, has obvious attractions. Two leadless systems have been developed, though only one is currently available. Results from clinical trials have been promising but a number of hurdles need to be circumvented before leadless devices can usurp TVPs. At present, use is restricted to specialist centres, for a limited indication and for patients in whom conventional implantation is contraindicated. This article provides a contemporary critique of design types, evidence base and existing limitations of this nascent technology. Elsevier 2019 2019-11-19 /pmc/articles/PMC7136320/ /pubmed/32248913 http://dx.doi.org/10.1016/j.ihj.2019.11.255 Text en © 2019 Cardiological Society of India. Published by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Review Article
Nadarajah, Ramesh
Ali, Noman
Patel, Peysh A.
Leadless pacemakers – The path to safer pacing?
title Leadless pacemakers – The path to safer pacing?
title_full Leadless pacemakers – The path to safer pacing?
title_fullStr Leadless pacemakers – The path to safer pacing?
title_full_unstemmed Leadless pacemakers – The path to safer pacing?
title_short Leadless pacemakers – The path to safer pacing?
title_sort leadless pacemakers – the path to safer pacing?
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136320/
https://www.ncbi.nlm.nih.gov/pubmed/32248913
http://dx.doi.org/10.1016/j.ihj.2019.11.255
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