Key result
Recent advances in implantable cardiac devices, including conduction system pacing and leadless technologies, offer physiological alternatives to traditional pacing and aim to reduce complications.
Why the study?
Implantable cardiac devices carry risks and complications despite growing sophistication, necessitating an update on emerging technologies designed to maximize efficiency and reduce complications.
This review highlights emerging technologies in implantable cardiac devices, including novel pacing techniques and leadless devices, aimed at maximizing efficiency and reducing complications.
May guide device selection to reduce pacing complications; leaves open need for randomized outcome trials.
Implantable cardiac devices are a vital treatment option in the management of tachy/brady-arrhythmias and heart failure with conduction disease. In the recent years, these devices have become increasingly sophisticated, with high implantation success rates and longevity. However, these devices are not without risks and complications, which need to be carefully considered before implantation. In an era of rapidly evolving cardiac device therapies, this review article will provide an update on the literature and outline some of the emerging technologies that aim to maximise the efficiency of implantable devices and reduce complications. We discuss novel pacing techniques, including alternative pacing sites in anti-bradycardia and biventricular pacing, as well as the latest evidence surrounding leadless device technologies and patient selection for implantable device therapies.
No takes yet. Share an insight, caveat, or question.
Chick et al. (2024) conducted a review in Brady- and Tachy-Arrhythmias and Heart Failure. Implantable Cardiac Devices (Conduction System Pacing, Leadless Pacemakers, CRT, ICD) was evaluated. Recent advances in implantable cardiac devices, including conduction system pacing and leadless technologies, offer physiological alternatives to traditional pacing and aim to reduce complications.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: