How to Implant a Leadless Pacemaker With a Tine-Based Fixation.
Two major studies have shown that leadless pacemakers are safe and effective for patients requiring right ventricular rate responsive pacing therapy. This positive result recently led to FDA approval of one of the available leadless pacing devices. While this new technology is promising, it requires a different skill set for safe implantation. In this article, we review in detail the different steps required for implantation of tine-based leadless pacemakers while providing tips and tricks to minimize complications.
Division of Cardiology-Section of Electrophysiology, Emory University School of Medicine, Atlanta, Georgia, USA.
Mikhael F
MF
El-Chami
Southampton University Hospital, Southampton, Hampshire, UK.
Paul R
PR
Roberts
Department of Cardiology, Kepler University Hospital Linz Faculty of Medicine, Linz, Austria.
Alex
A
Kypta
Medtronic, Mounds View, Minnesota, USA.
Pamela
P
Omdahl
Medtronic, Mounds View, Minnesota, USA.
Matthew D
MD
Bonner
Baylor Scott and White Health Care, Dallas, Texas, USA.
Robert C
RC
Kowal
Section of Clinical Electrophysiology, Department of Cardiology, Military Hospital-State Health Center, Budapest, Hungary.
Gabor Z
GZ
Duray
D006328:Cardiac Catheterization / Q000295:instrumentation*; D062906:Cardiac Catheters; D002304:Cardiac Pacing, Artificial; D004867:Equipment Design; D006801:Humans; D010138:Pacemaker, Artificial; D015641:Radiography, Interventional; D016896:Treatment Outcome
Micra; Nanostim; leadless pacemaker; transvenous pacemaker