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Review
. 2020 Dec;43(12):1438-1450.
doi: 10.1111/pace.14105. Epub 2020 Nov 8.

Single-chamber leadless pacemaker for atrial synchronous or ventricular pacing

Jo-Jo Hai  1   2 , Yap-Hang Chan  1 , Chu-Pak Lau  1 , Hung-Fat Tse  1   3
Affiliations
Review

Single-chamber leadless pacemaker for atrial synchronous or ventricular pacing

Jo-Jo Hai et al. Pacing Clin Electrophysiol. 2020 Dec.

Abstract

Leadless pacing is a major breakthrough in the management of bradyarrhythmia. Results of initial clinical trials that have demonstrated a significant reduction in acute and long-term pacing-related complications have been confirmed by real-world experience in a broader spectrum of patients. Nonetheless current use of a leadless pacemaker is hampered by its limited atrial sensing and pacing capability, as well as battery life-span and retrievability. We review the current clinical outcome data, indications and contraindications, implantation and retrieval techniques, synchronous ventricular pacing, and other clinical considerations. We also provide an overview of the latest advancements in leadless pacing technology including device-to-device communication and energy harvesting technology.

Keywords: VDD; VVI; atrial synchronous pacing; leadless pacemaker; pacing.

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References

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