Safety and feasibility of a midseptal implantation technique of a leadless pacemaker.
Aged, 80 and over
Bradycardia
/ diagnosis
Cardiac Pacing, Artificial
/ methods
Electrocardiography
/ methods
Feasibility Studies
Female
Fluoroscopy
/ methods
Heart Injuries
/ etiology
Heart Ventricles
/ injuries
Hong Kong
Humans
Intraoperative Complications
/ prevention & control
Male
Outcome and Process Assessment, Health Care
Pacemaker, Artificial
Prosthesis Implantation
/ adverse effects
Risk Adjustment
/ methods
Fluoroscopy
Leadless pacemaker
Safety
Septal pacing
Technique
Journal
Heart rhythm
ISSN: 1556-3871
Titre abrégé: Heart Rhythm
Pays: United States
ID NLM: 101200317
Informations de publication
Date de publication:
06 2019
06 2019
Historique:
received:
02
11
2018
pubmed:
15
12
2018
medline:
31
10
2020
entrez:
15
12
2018
Statut:
ppublish
Résumé
The major risk of implanting a leadless pacemaker at the right ventricular (RV) apex is cardiac perforation. The purpose of this study was to describe and prospectively evaluate the safety and feasibility of a technique for midseptal implantation of the Micra leadless pacemaker. We positioned the device at the center of the cardiac silhouette in the right anterior oblique (RAO) view, toward the left in the left anterior oblique (LAO) view, and away from the sternum in the left lateral view. Among the 51 patients (mean age 81.3 ± 9.3 years; 47% men) included in the study, 29 (57%) were >80 years old, 7 (14%) had body mass index <20 kg/m In this high-risk patient cohort, midseptal implantation of a leadless pacemaker as guided by RAO, LAO, and left lateral views was achieved in 90% of patients, with a low risk of complications.
Sections du résumé
BACKGROUND
The major risk of implanting a leadless pacemaker at the right ventricular (RV) apex is cardiac perforation.
OBJECTIVE
The purpose of this study was to describe and prospectively evaluate the safety and feasibility of a technique for midseptal implantation of the Micra leadless pacemaker.
METHODS
We positioned the device at the center of the cardiac silhouette in the right anterior oblique (RAO) view, toward the left in the left anterior oblique (LAO) view, and away from the sternum in the left lateral view.
RESULTS
Among the 51 patients (mean age 81.3 ± 9.3 years; 47% men) included in the study, 29 (57%) were >80 years old, 7 (14%) had body mass index <20 kg/m
CONCLUSION
In this high-risk patient cohort, midseptal implantation of a leadless pacemaker as guided by RAO, LAO, and left lateral views was achieved in 90% of patients, with a low risk of complications.
Identifiants
pubmed: 30550834
pii: S1547-5271(18)31262-1
doi: 10.1016/j.hrthm.2018.12.007
pii:
doi:
Types de publication
Journal Article
Observational Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
896-902Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2018 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.