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In the wireless era: leadless pacing
Abstract
Cardiac pacemakers have been the standard therapy for patients with bradyarrhythmias for several decades. The pacing lead is an integral part of the system that serves as a conduit for the delivery of energy pulses to stimulate the myocardium. However, it is also an Achilles tendon that directly causes most device complications both acutely during implant and chronically years afterwards. Both durability and optimization of the stimulation site are important areas of improvement for manufacturers and implanters. Elimination of the pacing lead and the utilization of other means for energy transfer is the only way to avoid lead complications and allow a better choice of stimulation site. Leadless pacing with ultrasound-mediated energy has been demonstrated in animals and humans in acute studies. This has aroused intense interest in the field of cardiac pacing. With concerted effort from the profession and the industry, leadless pacing may indeed become a realizable concept.
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“Alternative solutions for leadless devices have been proposed, including utilization of energy harvesters11, 12 and ultrasound-based wireless pacers8, 13, 14. However, these are similarly hindered by a large device size that leads to mechanically stressed fixation mechanisms.”
From Inductively powered wireless pacing via a miniature pacemaker and remote stimulation control system (2017) · cites this paper as [14]
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Still being checked.
Research works printed but not linked: 12
- Borek, 2008, J. Interv. Card. Electrophysiol., 23, 59, 10.1007/s10840-008-9249-7 · DOI
- Bax, 2005, J. Am. Coll. Cardiol., 46, 2168, 10.1016/j.jacc.2005.09.020 · DOI
- Barold, 2008, Heart, 94, 10, 10.1136/hrt.2007.119404 · DOI
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- Echt, 2006, Heart Rhythm, 3, 1202, 10.1016/j.hrthm.2006.06.012 · DOI
- Lee, 2007, J. Am. Coll. Cardiol., 50, 877, 10.1016/j.jacc.2007.04.081 · DOI
- Lee, 2009, Heart Rhythm, 6, 742, 10.1016/j.hrthm.2009.02.025 · DOI
- Sweeney, 2006, Heart Rhythm, 3, 1207, 10.1016/j.hrthm.2006.06.025 · DOI
- Benditt, 2009, Heart Rhythm, 6, 749, 10.1016/j.hrthm.2009.04.006 · DOI
- Wieneke, 2009, Pacing Clin. Eletrophysiol., 32, 177, 10.1111/j.1540-8159.2008.02200.x · DOI
- Loeb GE, Richmond FJR, Singh Jet al.RF-powered BIONS’s™ for stimulation and sensing. Presented at:26th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. San Francisco, CA, USA, 1–5 September 2004.
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Cited by
Inductively powered wireless pacing via a miniature pacemaker and remote stimulation control system
Abiri, P., Abiri, A., Packard, R. R. S., Ding, Y., Yousefi, A., Ma, J., Bersohn, M., Nguyen, K.-L., Markovic, D., Moloudi, S., et al. (2017) · Scientific Reports · doi:10.1038/s41598-017-06493-5 · Cited by 68
Metadata
- Authors
- Lee, K. L.
- Affiliations
- Queen Mary Hospital (CN)
- Corresponding author
- Lee, Kathy L
- Venue
- Expert Review of Cardiovascular Therapy
- Publisher
- Informa UK Limited
- Published
- 2010-02
- Volume
- 8
- Issue
- 2
- Pages
- 171-174
- ISSN
- 1477-9072 (ISSN-L)
- 1744-8344
- OpenAlex
- W2094747110
- Cited by
- 16
- References
- 0
- Citations by year
- 2024: 1 · 2020: 2 · 2018: 1 · 2017: 2 · 2015: 1 · 2014: 3 · 2013: 2
- FWCI
- 1.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Expert Review of Cardiovascular Therapy (publishedVersion)
- PubMed (publishedVersion)
- The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Physical Sciences › Engineering › Electrical and Electronic Engineering › Wireless Power Transfer Systems
- Keywords
- cardiac pacemaker, pacemaker leads, lead complications, bradycardia, transcutaneous pacing
- MeSH terms
- Animals, Bradycardia, Equipment Design, Heart Failure, Humans, Pacemaker, Artificial, Transducers, Biomedical Technology
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
