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Long-term performance of leadless pacemaker: results from a multicentre registry
Session:
Sessão de Comunicações Orais - Dispositivos Médicos
Speaker:
João Carmo
Congress:
CPC 2020
Topic:
C. Arrhythmias and Device Therapy
Theme:
09. Device Therapy
Subtheme:
09.1 Antibradycardia Pacing
Session Type:
Comunicações Orais
FP Number:
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Authors:
João Carmo; Diogo Cavaco; Fabio Klemz; Pedro Lopes Do Carmo; Francisco Moscoso Costa; Gustavo Da Rocha Rodrigues; José Alencar; Maria Salomé Carvalho; Daniel Nascimento Matos; Francisco Bello Morgado; Pedro Adragão; Miguel Mendes
Abstract
<p>Background: The leadless has emerged as an alternative to conventional pacing. First studies showed a high implantation success rate and a low complication rate. The long-term performance of these devices remains uncertain.</p> <p>Objectives: To evaluate the safety and electrical performance at long-term follow-up of the Micra™ leadless pacemaker (MLP). </p> <p>Methods: Prospective registry from two centres that included 97 consecutive patients who were implanted with a MLP between June 2015 and December 2018. The safety and efficacy of the device were assessed. </p> <p>Results: The cohort had a mean age of 77±11 years old and 36% were female. The indications for pacing were atrial fibrillation with atrioventricular node (AV) disease (71%), complete AV block (19%) and sinus node disease (10%). Micra was implanted with success in all patients. During the first 30 days, complications were low (3%): one femoral pseudo-aneurysm needing surgical treatment, one pericardial effusion without need for drainage and one conventional pacemaker implantation in the following day because of loss of ventricular capture. Two patients died in the first 30 days after implantation but it was unrelated to the procedure or device. The electrical performance was excellent at implantation and long-term follow-up (mean 26 months). The mortality at the end of follow-up was 24%. </p> <p>Conclusions: Long-term performance of the Micra pacemaker remains consistent with previously reported data and complications were low.</p>
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