Leadless cardiac pacing: What primary care providers and non-EP cardiologists should know

@article{Kiehl2016LeadlessCP,
  title={Leadless cardiac pacing: What primary care providers and non-EP cardiologists should know},
  author={Erich L. Kiehl and Daniel J. Cantillon},
  journal={Cleveland Clinic Journal of Medicine},
  year={2016},
  volume={83},
  pages={S24 - S34}
}
Over the last 50 years, the use of transvenous pacemakers has been constrained by long-term complications that affect more than 1 in 10 patients, largely attributable to the endovascular leads and surgical pocket. Leadless cardiac pacing involves a self-contained pacemaker deployed directly into the heart without a lead or incisional access. The procedure has shown promise, eliminating pocket-related complications. Other advantages include postprocedural shoulder mobility and the ability to… 
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References

SHOWING 1-10 OF 43 REFERENCES

Permanent Leadless Cardiac Pacing: Results of the LEADLESS Trial

In a prospective nonrandomized study, a completely self-contained, single-chamber leadless cardiac pacemaker has shown to be safe and feasible and could represent a paradigm shift in cardiac pacing.

Early performance of a miniaturized leadless cardiac pacemaker: the Micra Transcatheter Pacing Study

Early assessment shows the transcatheter pacemaker can safely and effectively be applied and long-term safety and benefit of the pacemaker will further be evaluated in the trial.

Percutaneous Implantation of an Entirely Intracardiac Leadless Pacemaker.

The leadless cardiac pacemaker met prespecified pacing and sensing requirements in the large majority of patients, and met the primary safety end point through 6 months.

Right Ventricular Anatomy Can Accommodate Multiple Micra Transcatheter Pacemakers

The introduction of transcatheter pacemaker technology has the potential to significantly reduce if not eliminate a number of complications associated with a traditional leaded pacing system.…

A Leadless Intracardiac Transcatheter Pacing System.

The transcatheter pacemaker implanted in patients who had guideline-based indications for ventricular pacing met the prespecified safety and efficacy goals; it had a safety profile similar to that of a transvenous system while providing low and stable pacing thresholds.

Chronic performance of a leadless cardiac pacemaker: 1-year follow-up of the LEADLESS trial.

Leadless Medtronic Micra pacemaker almost completely endothelialized already after 4 months: first clinical experience from an explanted heart.

A 43-year-old man with congenital heart disease (patent ductus arteriosus and congenital aortic stenosis) underwent leadless pacemaker implantation in September 2016 and his course was complicated by recurrent device-related infections.

Postmortem Histopathological Examination of a Leadless Pacemaker Shows Partial Encapsulation After 19 Months.

An 80-year-old male, with a history of coronary artery disease and bradytachy syndrome, was referred for a recurring pacemaker pocket infection of his dual chamber pacemaker system, and a leadless pacemaker was successfully implanted in the right ventricular apex.

Clinical experience with pacemaker pulse generators and transvenous leads: an 8-year prospective multicenter study.

Venous Obstruction After Pacemaker Implantation

Background: Central vein leads are known to predispose to venous obstruction. Although usually asymptomatic, obstruction may render electrode removal difficult. This study aimed at quantifying…