Outcomes of primary leadless pacemaker implantation: A systematic review |
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Authors: | Tayyiba Ahmed Noor MBBS Muhammad Omer Rehman Rana MBBS Sapna Kumari MBBS Bakht Umer MBBS Jahanzeb Malik MBBS Amna Ashraf MBBS Maria Faraz MBBS Tabligh Hussain MBBS Muhammad Awais MBBS Amin Mehmoodi MD Azmat Hayat MBBS |
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Affiliation: | 1. Department of Medicine, Allama Iqbal Medical College, Lahore, Pakistan;2. Department of Cardiology, Chaudhry Pervaiz Ilahi Institute of Cardiology, Multan, Pakistan;3. Department of Medicine, Ross University, School of Medicine, Miramar, Florida, USA;4. Department of Interventional Cardiology, Armed Forces Institute of Cardiology, Rawalpindi, Pakistan;5. Department of Electrophysiology, Armed Forces Institute of Cardiology, Rawalpindi, Pakistan;6. Department of Medicine, Military Hospital, Rawalpindi, Pakistan;7. Department of Business Administration, Bahria University, Islamabad, Pakistan;8. Department of Medicine, Ibn e Seena Hospital, Kabul, Afghanistan |
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Abstract: | Background During the last decade, leadless pacemakers (LPMs) have turned into a prevalent alternative to traditional transvenous (TV) pacemakers; however, there is no consolidated data on LPM implantation in emergencies. Methods Digital databases were searched for this review and four relevant studies, including 1276 patients were included in this review with procedure duration, fluoroscopic time, major complications, and mortality as primary outcomes and pacing threshold, impedance, sensing of LPM, and hospital stay as secondary outcomes. Results Gonzales et al. and Marschall et al. showed the duration of the procedure to be 180 ± 45 versus 324.6 ± 92 and 39.9 ± 8.7 versus 54.9 ± 9.8, respectively. Zhang et al. demonstrated the duration of the procedure and fluoroscopy time to be 36 ± 13.4 and 11.1 ± 3.1, respectively. Similarly, Schiavone et al. exhibited intermediate times of implantation at 60 (45–80) versus 50 (40–65) and fluoroscopic times at 6.5 (5–9.7) versus 5.1 (3.1–9). Hospital stay was more with a temp-perm pacemaker as compared to LPM and pacing parameters were not significantly different in all the studies. Conclusion For underlying arrhythmias, whenever appropriate, our review shows that LPMs may be a better option than temporary pacemakers, even as an urgent treatment. |
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Keywords: | electrophysiology implantation leadless pacemaker permanent pacemaker primary pacemaker |
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