Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Dec;15(4):421-432.
doi: 10.1016/j.ccep.2023.06.002. Epub 2023 Aug 5.

Leadless Pacemakers in Patients with Congenital Heart Disease

Affiliations
Review

Leadless Pacemakers in Patients with Congenital Heart Disease

Elizabeth D Sherwin et al. Card Electrophysiol Clin. 2023 Dec.

Abstract

Transcatheter leadless pacemakers have benefits in congenital heart disease because they eliminate the risks of lead malfunction, venous occlusions, and pocket complications. This newest pacemaker's utility in this population has been limited by the large sheath and delivery system, need for atrioventricular synchronous pacing, lack of explantation options, and possible lack of adequate access to the subpulmonary ventricle. With careful planning, leadless pacing can be successfully performed in these patients. Consideration of nonfemoral access, alternative implant sites to avoid myocardial scar or prosthetic material, anticoagulation for patients with persistent intracardiac shunts or systemic ventricular implantation, and operator experience are critical.

Keywords: Congenital heart disease; Leadless pacemaker; Pediatric cardiology; Transcatheter pacing.

PubMed Disclaimer

LinkOut - more resources