Atrioventricular synchronous leadless pacemaker: state of art and broadened indications

Gianfranco Mitacchione; Marco Schiavone; Alessio Gasperetti; Maurizio Viecca; Antonio Curnis; Giovanni B Forleo

doi:10.31083/j.rcm2202045

Atrioventricular synchronous leadless pacemaker: state of art and broadened indications

Rev Cardiovasc Med. 2021 Jun 30;22(2):395-401. doi: 10.31083/j.rcm2202045.

Authors

Gianfranco Mitacchione¹, Marco Schiavone¹, Alessio Gasperetti¹, Maurizio Viecca¹, Antonio Curnis², Giovanni B Forleo¹

Affiliations

¹ Department of Cardiology, Luigi Sacco University Hospital, Via G.B Grassi 74, 20157 Milan, Italy.
² Department of Cardiology, Spedali Civili Hospital, University of Brescia, P.zza Spedali Civili 1, 25123 Brescia, Italy.

PMID: 34258906
DOI: 10.31083/j.rcm2202045

Abstract

Leadless pacemakers (LLPMs) have become a major breakthrough in the management of bradyarrhythmia as an attractive alternative to the standard transvenous pacemakers (TV-PMs). Recently, the introduction of a second-generation LLPMs (Micra AV-MC1AVR1) has expanded pacing modes to obtain atrioventricular (AV) synchronous pacing, providing an interesting alternative in the actual scenario of leadless pacing. Nevertheless, actual reports have highlighted some concerns regarding those devices. In this review, we sought to provide an overview of this technology based on its approval studies and major reports.

Keywords: Atrioventricular synchronous leadless pacemaker; Atrioventricular synchrony; Leadless pacemakers; Micra-AV.

Publication types

Review

MeSH terms

Bradycardia / diagnosis
Bradycardia / therapy
Cardiac Pacing, Artificial
Equipment Design
Humans
Pacemaker, Artificial*