Why the study?
Does leadless cardiac pacemaker implantation provide feasible procedure and telemetric communication in a severely obese patient?
Does leadless cardiac pacemaker implantation provide feasible procedure and telemetric communication in a severely obese patient?
Leadless cardiac pacemaker implantation and telemetric communication are feasible in severely obese patients.
Answers are grounded in this paper and cite their sources.
Supports LCP feasibility in severe obesity; extends limited case data but leaves open need for prospective studies.
The conventional pacing systems consist of a small size-battery, an electronic circuit and leads. Despite improvements in diagnostic and therapeutic features, transvenous leads remain the weakest link of the pacing system. Nowadays, two types of leadless cardiac pacemaker (LCP) exist leading stimulation from the right ventricle (RV) apex or low septum at the desired lower rate, with rate responsive algorithms. We report our experience with an LCP implant in a severely obese patient and demonstrate the feasibility of the procedure and the excellent telemetric (conductive) communication between the LCP and the programmer despite the critical mass of the patient.
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Curnis et al. (2016) studied this question.
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