Leadless and Left Bundle Branch Area Pacemakers, Complementary Advantages Require a Personalized Approach Provisionally Accepted
Brett Atwater- 1Carient Heart and Vascular, United States
- 2Virginia Heart, United States
- 3Inova Schar Heart and Vascular, United States
Traditional transvenous pacemakers are composed of a pacemaker generator usually positioned surgically in the left upper chest on the pectoral muscle fascia and one or more leads positioned through the veins to the right atrium and across the tricuspid valve to the right ventricular apex. While these devices reduce symptoms and improve survival for patients with symptomatic bradycardia, they are associated with increased risk of infection, venous occlusion, heart failure, and tricuspid valve regurgitation. New pacemaker designs minimize these risks but no current generation pacemaker designs effectively eliminate all these risks. A personalized approach to the decision of which pacemaker is appropriate for an individual patient is needed to optimize outcomes.
Keywords: pacemaker, Leadless, Conduction system, Physiologic pacing, left bundle area pacing
Received: 20 Jan 2024;
Accepted: 16 May 2024.
Copyright: © 2024 Yousuf, Lee and Atwater. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Mx. Brett Atwater, Inova Schar Heart and Vascular, Falls Church, VA 22042, Virginia, United States