State of the art: leadless ventricular pacing : A national expert consensus of the Austrian Society of Cardiology.
Bradycardia
CIED
Cardiac implantable electronic devices
Infection
Leadless pacing
Pacemaker
Journal
Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing
ISSN: 1572-8595
Titre abrégé: J Interv Card Electrophysiol
Pays: Netherlands
ID NLM: 9708966
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
received:
15
10
2019
accepted:
02
12
2019
pubmed:
22
12
2019
medline:
20
1
2021
entrez:
22
12
2019
Statut:
ppublish
Résumé
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. 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. Leadless pacing systems can be implanted successfully with a low complication rate, if suggestions for indications and technical requirements are followed. 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.
Sections du résumé
BACKGROUND
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
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
CONCLUSIONS
Leadless pacing systems can be implanted successfully with a low complication rate, if suggestions for indications and technical requirements are followed. 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.
Identifiants
pubmed: 31863250
doi: 10.1007/s10840-019-00680-2
pii: 10.1007/s10840-019-00680-2
pmc: PMC7036055
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
27-37Références
Pacing Clin Electrophysiol. 2018 Oct;41(10):1365-1371
pubmed: 30066363
J Cardiovasc Electrophysiol. 2016 Sep;27(9):1067-71
pubmed: 27296508
Heart Rhythm. 2017 Dec;14(12):e503-e551
pubmed: 28919379
Europace. 2019 Jan 1;21(1):137-141
pubmed: 29986008
Circulation. 2017 Apr 11;135(15):1458-1470
pubmed: 28396380
Europace. 2014 Oct;16(10):1490-5
pubmed: 25087154
Pacing Clin Electrophysiol. 2016 Apr;39(4):345-51
pubmed: 26768807
JACC Clin Electrophysiol. 2016 Oct;2(5):636-637
pubmed: 29759585
Europace. 2007 May;9(5):328-32
pubmed: 17369270
J Long Term Eff Med Implants. 2016;26(3):225-232
pubmed: 28134605
Circ Arrhythm Electrophysiol. 2017 Mar;10(3):
pubmed: 28292753
Heart Rhythm. 2016 Oct;13(10):2056-63
pubmed: 27374239
Europace. 2018 Sep 1;20(9):1491-1497
pubmed: 29365073
N Engl J Med. 2016 Feb 11;374(6):533-41
pubmed: 26551877
Can J Cardiol. 2016 Dec;32(12):1578.e1-1578.e2
pubmed: 26927858
J Cardiovasc Magn Reson. 2018 Jul 5;20(1):47
pubmed: 29973228
Europace. 2013 Jul;15(7):978-83
pubmed: 23419656
Eur Heart J Case Rep. 2018 Nov 26;2(4):yty128
pubmed: 31020204
N Engl J Med. 2002 Jun 13;346(24):1854-62
pubmed: 12063369
Eur Heart J. 2014 May;35(18):1186-94
pubmed: 24347317
Eur Heart J. 2013 Aug;34(29):2281-329
pubmed: 23801822
Heart Rhythm. 2017 May;14(5):702-709
pubmed: 28192207
JAMA. 2012 Apr 25;307(16):1727-35
pubmed: 22535857
Pacing Clin Electrophysiol. 2003 Jan;26(1 Pt 1):114-24
pubmed: 12685152
Pacing Clin Electrophysiol. 2011 Aug;34(8):1013-27
pubmed: 21707667
HeartRhythm Case Rep. 2015 Oct 23;2(1):60-62
pubmed: 28491633
Clin Res Cardiol. 2016 Jan;105(1):94
pubmed: 26493306
Heart Rhythm. 2018 Sep;15(9):1387-1393
pubmed: 29709576
Pacing Clin Electrophysiol. 2016 Jul;39(7):675-9
pubmed: 27062484
N Engl J Med. 1998 Apr 16;338(16):1097-104
pubmed: 9545357
Heart Rhythm. 2017 Sep;14(9):1375-1379
pubmed: 28502871
J Electrocardiol. 1970;3(3-4):325-31
pubmed: 5517593
Arch Intern Med. 2011 Nov 14;171(20):1821-8
pubmed: 21911623
Heart Rhythm. 2012 May;9(5):728-35
pubmed: 22182495
Pacing Clin Electrophysiol. 2006 Feb;29(2):142-5
pubmed: 16492298
Eur Heart J. 2015 Oct 1;36(37):2510-9
pubmed: 26045305
J Am Coll Cardiol. 2005 May 17;45(10):1672-5
pubmed: 15893186
J Am Coll Cardiol. 2013 Jan 22;61(3):e6-75
pubmed: 23265327
N Engl J Med. 2019 May 16;380(20):1895-1905
pubmed: 30883056
Heart Rhythm. 2017 Dec;14(12):1756-1763
pubmed: 28705736
N Engl J Med. 2015 Sep 17;373(12):1125-35
pubmed: 26321198
Heart Rhythm. 2018 Sep;15(9):1363-1371
pubmed: 29758405
Eur Heart J. 2011 Apr;32(8):991-8
pubmed: 21252172
Europace. 2019 Jan 1;21(1):121-129
pubmed: 30020452
Heart Rhythm. 2018 Dec;15(12):1800-1807
pubmed: 30103071
Eur Heart J. 2011 Mar;32(6):686-96
pubmed: 21300730
Am J Cardiol. 2016 Mar 15;117(6):988-92
pubmed: 26833208
Cardiol Clin. 2014 May;32(2):201-10
pubmed: 24793797
Circulation. 2007 Sep 18;116(12):1349-55
pubmed: 17724263
Pacing Clin Electrophysiol. 2018 Jul;41(7):820-827
pubmed: 29749035
JACC Clin Electrophysiol. 2018 Jan;4(1):149-150
pubmed: 29600780
J Am Coll Cardiol. 2015 Apr 21;65(15):1497-504
pubmed: 25881930
Heart Rhythm. 2017 Dec;14(12):1801-1806
pubmed: 28713024
Circulation. 2018 Feb 6;137(6):633-635
pubmed: 29431664
J Cardiovasc Electrophysiol. 2017 Mar;28(3):336-346
pubmed: 27925339
Circulation. 2014 Apr 8;129(14):1466-71
pubmed: 24664277
Heart Rhythm. 2007 Feb;4(2):154-60
pubmed: 17275749
Europace. 2016 Aug;18(8):1220-6
pubmed: 26705557
Pacing Clin Electrophysiol. 2016 Apr;39(4):393-7
pubmed: 26710918
Heart Rhythm. 2018 Jun;15(6):841-846
pubmed: 29427820
Heart Rhythm. 2014 May;11(5):799-805
pubmed: 24444444