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State of the art: leadless ventricular pacing

Authors
  • Steinwender, C.1
  • Lercher, P.2
  • Schukro, C.3
  • Blessberger, H.1
  • Prenner, G.2
  • Andreas, M.3
  • Kraus, J.4
  • Ammer, M.5
  • Stühlinger, M.6
  • 1 Johannes Kepler University Linz, Medical Faculty,
  • 2 Medical University Graz,
  • 3 Medical University of Vienna,
  • 4 Paracelsus Medical University Salzburg,
  • 5 Klinikum Wels-Grieskirchen,
  • 6 Medical University of Innsbruck,
Type
Published Article
Journal
Journal of Interventional Cardiac Electrophysiology
Publisher
Springer-Verlag
Publication Date
Dec 20, 2019
Volume
57
Issue
1
Pages
27–37
Identifiers
DOI: 10.1007/s10840-019-00680-2
PMID: 31863250
PMCID: PMC7036055
Source
PubMed Central
Keywords
License
Unknown

Abstract

Background Cardiac pacing has been shown to improve quality of life and prognosis of patients with bradycardia for almost 60 years. The latest innovation in pacemaker therapy was miniaturization of generators to allow leadless pacing directly in the right ventricle. There is a long history and extensive experience of leadless ventricular pacing in Austria. However, no recommendations of national or international societies for indications and implantation of leadless opposed to transvenous pacing systems have been published so far. Results A national expert panel of skilled implanters gives an overview on the two utilized leadless cardiac pacing systems and highlights clinical advantages as well as current knowledge of performance and complication rates of leadless pacing. Furthermore, a national consensus for Austria is presented, based on recent studies and current know-how, specifically including indications for leadless pacing, management of infection, suggestions for qualification, and training of the operators and technical standards. Conclusions Leadless pacing systems can be implanted successfully with a low complication rate, if suggestions for indications and technical requirements are followed. Condensed abstract An overview of the two utilized leadless cardiac pacing systems is given, specifically highlighting clinical advantages as well as current knowledge of performance and complication rates. Furthermore, a national consensus for Austria is presented, specifically including indications for leadless pacing, management of infection, and suggestions for qualification and technical standards.

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