Russell A Denman1, Adam C Lee2, Caleb Mengel2, Simon Townsend3, John Betts3, Nicole Bovey3, Daniel Wright3, Oscar Davison3, Haris M Haqqani2. 1. Department of Cardiology, The Prince Charles Hospital, Brisbane, Qld, Australia. Electronic address: Russell.Denman@health.qld.gov.au. 2. Department of Cardiology, The Prince Charles Hospital, Brisbane, Qld, Australia; Faculty of Medicine, University of Queensland, Brisbane, Qld, Australia. 3. Department of Cardiology, The Prince Charles Hospital, Brisbane, Qld, Australia.
Abstract
BACKGROUND: To describe the performance and clinical outcomes of consecutive patients having a leadless pacemaker (LP) implanted at a single institution. METHODS: Clinical data and device parameters were prospectively collected on all patients undergoing LP implantation from November 2015 to April 2018. RESULTS: A total of 79 patients (52 male), median age of 78 years, was included. Leadless pacemaker implantation was successful in 76 patients (96%). Implantation failed in two patients due to excessive venous tortuosity and due to inadequate sensing in another. Seventy-three (73) patients (96%) had chronic atrial fibrillation and all had a Class I or II indication for pacing. Procedure time was 29minutes (IQR 21-43) and fluoroscopy time was 8minutes (IQR 5-13). The median R wave at implant was 11.2mV (IQR 6.9-15.0). The median capture threshold at 0.24ms was 0.5V (IQR 0.4-0.9) and impedance was 754Ω (IQR 680-880). Intraprocedural acute dislodgement occurred in one patient following cutting of the tether but successful snaring and reimplantation was performed. During a median follow-up of 355days (range 9-905), overall electrical performance has been excellent. No patients have been readmitted for device revision or complications. Five (5) patients (7%) died during follow-up from unrelated causes. CONCLUSIONS: Leadless pacemakers can be implanted safely and effectively in the majority of patients. Device electrical performance was excellent over a median follow-up of 12 months. Crown
BACKGROUND: To describe the performance and clinical outcomes of consecutive patients having a leadless pacemaker (LP) implanted at a single institution. METHODS: Clinical data and device parameters were prospectively collected on all patients undergoing LP implantation from November 2015 to April 2018. RESULTS: A total of 79 patients (52 male), median age of 78 years, was included. Leadless pacemaker implantation was successful in 76 patients (96%). Implantation failed in two patients due to excessive venous tortuosity and due to inadequate sensing in another. Seventy-three (73) patients (96%) had chronic atrial fibrillation and all had a Class I or II indication for pacing. Procedure time was 29minutes (IQR 21-43) and fluoroscopy time was 8minutes (IQR 5-13). The median R wave at implant was 11.2mV (IQR 6.9-15.0). The median capture threshold at 0.24ms was 0.5V (IQR 0.4-0.9) and impedance was 754Ω (IQR 680-880). Intraprocedural acute dislodgement occurred in one patient following cutting of the tether but successful snaring and reimplantation was performed. During a median follow-up of 355days (range 9-905), overall electrical performance has been excellent. No patients have been readmitted for device revision or complications. Five (5) patients (7%) died during follow-up from unrelated causes. CONCLUSIONS: Leadless pacemakers can be implanted safely and effectively in the majority of patients. Device electrical performance was excellent over a median follow-up of 12 months. Crown
Authors: Daniel Darlington; Philip Brown; Vanessa Carvalho; Hayley Bourne; Joseph Mayer; Nathan Jones; Vincent Walker; Shoaib Siddiqui; Ashish Patwala; Chun Shing Kwok Journal: Indian Pacing Electrophysiol J Date: 2021-12-16