Leadless Pacing: Technology and Outcomes-Leadless Pacing: Technology and Outcomes

Video Transcription

Video Summary

The session chaired by Kevin Heist revolved around advancements and challenges in leadless pacemaker implantation. The lead topic, presented by Naruya Ishize from Japan, focused on a novel risk score to predict procedural difficulties of MICRA leadless pacemakers. The study highlighted that anatomical features could indicate the complexity of the procedure, aiding clinicians in planning and improving patient safety.<br /><br />Lydia Messelet from the University of California, Davis presented findings on racial disparities in leadless pacemaker implantation in the United States. The study underscored that while white individuals constituted the majority of recipients, minority groups experienced higher complication rates, suggesting the presence of disparities in healthcare delivery.<br /><br />Christopher Gerwag from Belgium shared updated results on micro-AV post-approval registry studies, noting low major complication and system revision rates in a real-world setting. These results suggest micro-AV devices are safe and effective for patients needing ventricular pacing without atrial pacing.<br /><br />James Ip from Weill Cornell Medicine reported on successful chronic retrieval outcomes for an atrial leadless pacemaker over a three-year period. The study demonstrated a 100% retrieval success rate without procedural complications, indicating this approach's feasibility for long-term management.<br /><br />Lastly, Yuya Komai from Chiba University, Japan, discussed the safety and efficacy of a same-day procedure involving transvenous lead extraction and leadless pacemaker implantation for CIED-related infections. Results suggested potential benefits in selected patients, although careful case selection is crucial. Overall, speakers emphasized innovation in leadless pacing technology and the need for continued evaluation of procedural protocols and healthcare equity.

Keywords

leadless pacemaker

MICRA

risk score

racial disparities

micro-AV

ventricular pacing

atrial leadless pacemaker

chronic retrieval

CIED-related infections

healthcare equity