Arrhythmias & electrophysiology

Chronic wireless communication between dual-chamber leadless pacemaker devices

Heart RhythmPublished Prospective single-group study

Authors' conclusion

Wireless implant-to-implant communication in the new dual-chamber leadless pacemaker system demonstrated successful transmissions in >90% of beats throughout the 6-month evaluation period. Communication success improved significantly over time postimplant for specific subgroups.

Study context

Population
Patients meeting standard dual-chamber pacing indications, de novo dual-chamber leadless pacemaker (LP) implant
Participants
399 patients
Outcome
Chronic i2i transmission success rates (A-to-V and V-to-A)
Follow-up
Implant, discharge, 1, 3 and 6 months postimplant
Methodological detailsAveir DR i2i Study, international
  • Aveir DR i2i Study
  • International

Main finding

As reported in the abstract

i2i success rate · implant to 6M

Median ALP-to-VLP (A-to-V) and VLP-to-ALP (V-to-A) i2i success rates exceeded 90% of beats at all time-points

>90%

Observational data: associations, not effects.

Further findings

Patients with i2i success in <70% of beats at implant (subgroup) · implant, 1M, 6M

A-to-V <70% at implant
19%
V-to-A <70% at implant
31%
Improvement by 1M
roughly 40%
Patients <70% by 6M
roughly 5%

Original publication

Chronic wireless communication between dual-chamber leadless pacemaker devices. Heart Rhythm. Published 19 October 2024. doi:10.1016/j.hrthm.2024.10.020

Summarised from the published abstract; every number is checked against it

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