Acute and long-term outcomes of simultaneous atrioventricular node ablation and leadless pacemaker implantation

Pacing and Clinical Electrophysiology : PACE
Jose Luis Martinez-SandeCarlo de Asmundis

Abstract

Leadless pacemaker (LDP) allows implantation using a femoral approach. This access could be utilized for conventional atrioventricular nodal ablation (AVNA). It could facilitate unifying the two procedural components. Data regarding its feasibility and long-term outcomes remain lacking. We aim to evaluate the feasibility and long-term outcomes of sequential LDP and AVNA. Prospective, observational multicenter study including consecutive patients with indication for single-chamber pacemaker placement. In those with additional indication for AVNA, ablation was performed immediately after the LPD through the same sheath. A total of 137 patients were included. Mean age was 77.9 ± 10.5 years; 74 (54%) were men. Immediately following LDP implantation, 27 patients (19.7%) underwent concurrent AVNA. There were six (5.5%) complications in patients referred for LDP procedures and three (11%) in those who underwent a combined approach. None of these complications were solely attributable to the added AVNA component. No mechanical dislodgement, electrical damage to any device, or electromagnetic interference ever took place. During a mean follow-up period of 123 ± 48 days, three patients (3.6%) died of noncardiovascular causes. The remaini...Continue Reading

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Citations

Oct 23, 2020·Pacing and Clinical Electrophysiology : PACE·Antonio CurnisLuca Bontempi
Jan 12, 2021·Journal of Cardiovascular Electrophysiology·Mikhael F El-ChamiJonathan P Piccini

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