Valvular & structural heart disease
Long-Term Safety and Efficacy of Intraoperative Leadless Pacemaker Implantation During Valve Surgery
Authors' conclusion
Intraoperative LCP implantation under direct visualization is a safe strategy to provide permanent pacing in patients undergoing valve surgery, with a postoperative electrical performance comparable to percutaneously placed LCPs.
Study context
- Population
- Patients undergoing valve surgery with elevated risk of postoperative conduction disorders or preexisting pacing indication
- Participants
- 100 consecutive patients
- Outcome
- Long-term safety and efficacy of intraoperative LCP implantation
Methodological detailssingle-centre, consecutive patients
- Single-centre
- Consecutive patients
Main finding
As reported in the abstract
Successful LCP implantation in all patients
100
Device-related complications during median 10.6 months (IQR: 2.0-22.7 months) follow-up
0
Acceptable pacing thresholds (≤2.0 V at 0.24 milliseconds) at 12-month follow-up
95%
Observational data: associations, not effects.
Safety
Device-related complications · median 10.6 months (IQR 2.0-22.7) follow-up
- No device-related complications occurred
Original publication
Long-Term Safety and Efficacy of Intraoperative Leadless Pacemaker Implantation During Valve Surgery. JACC Clin Electrophysiol. Published 14 August 2024. doi:10. 1016/ j. jacep. 2024. 06. 018
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