Why the study?
Traditional pacing systems cause pocket- or lead-related complications in approximately one in eight patients, prompting the development of leadless pacemakers to overcome these challenges.
Systematic Review
This systematic review outlines the advantages, complications, limitations, and appropriate candidates for leadless pacemakers as an alternative to conventional transvenous pacing systems.
Answers are grounded in this paper and cite their sources.
Supports leadless pacemakers to reduce pocket and lead complications; extends meta-analytic evidence for selective first-line use.
Conventional pacing systems consist of a pacemaker and one or more leads threaded from the device pocket through veins into the heart conducting the pacing therapy to the desired pacing site. Although these devices are effective, approximately one in eight patients treated with these traditional pacing systems experiences a complication attributed to the pacemaker pocket or leads. With the technological advances in electronics, leadless pacemakers that small enough to implant within the heart were introduced. Leadless pacemakers have been developed to overcome many of the challenges of transvenous pacing including complications related to leads or pacemaker pockets. This review aims to provide an overview of advantages of leadless pacemaker, complications and limitations of leadless pacemaker, leadless pacemaker candidate, and future directions of this promising technology.
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Xu et al. (2023) conducted a systematic review in Patients requiring pacing therapy. Leadless pacemaker vs. Conventional pacing systems was evaluated.
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