Pacemaker leadless: risultati di una survey condotta nei centri impiantatori della Regione Lombardia

Translated title of the contribution: Leadless pacemakers: results of a survey from implanter centers in the Lombardy region

Luca Rosario Limite, Francesca Baratto, Massimo Mantica, Giusy Sirico, Giovanni Rovaris, Elisabetta MOntemerlo, Domenico Pecora, Massimo Pagani, Luigi Fedele, Giuseppe Augello, Francesca Zuffada, Roberto Rordorf, Francesco Ambrosini, Lorenzo Gigli, Paolo De Filippo, Antonio Pani, Giovanni Forleo, Gianfranco Mitacchione, Paolo Della Bella, Patrizio Mazzone

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND: Transvenous pacing is nowadays the cornerstone of interventional management of bradyarrhythmias. It is still associated, however, with significant complications, mostly related to indwelling transvenous leads or device pocket. In order to reduce these complications, leadless pacemakers have been recently introduced into clinical practice, but no guidelines are yet available to indicate who are those patients that might benefit the most and whether leadless pacing should be preferred in the old or young population. This survey aims to describe the use of leadless pacemaker devices in a real-world setting. METHODS: Eleven arrhythmia centers in the Lombardy region (out of a total of 17 participating centers) responded to the proposed questionnaire regarding patient characteristics and indications to leadless pacing. RESULTS: Out of a total of 411 patients undergoing leadless pacing during 4.2 ± 0.98 years, the median age was 77 years, with 0.18% of patients having less than 18 years, 29.9% 18-65 years, 34.3% 65-80 years and 35.6% >80 years. The most common indication was slow atrial fibrillation (49% of patients), followed by atrioventricular block and sinoatrial dysfunction. Two centers reported in-hospital complications. CONCLUSIONS: Leadless pacemakers proved to be a safe pacing strategy actually destined mostly to elderly patients.

Translated title of the contributionLeadless pacemakers: results of a survey from implanter centers in the Lombardy region
Original languageItalian
Pages (from-to)120-127
Number of pages8
JournalGiornale italiano di cardiologia (2006)
Volume23
Issue number2
DOIs
Publication statusPublished - Feb 1 2022

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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