Leadless pacing in cardiac transplant recipients: Primary results of a multicenter case experience

Roberto Rordorf; Simone Savastano; Luca Bontempi; Valentina De Regibus; Ederina Mulargia; Enrico Baldi; Saverio Iacopino; Maurizio G Lunati; Antonio Curnis

doi:10.1016/j.jelectrocard.2020.03.010

Leadless pacing in cardiac transplant recipients: Primary results of a multicenter case experience

J Electrocardiol. 2020 May-Jun:60:33-35. doi: 10.1016/j.jelectrocard.2020.03.010. Epub 2020 Mar 21.

Authors

Roberto Rordorf¹, Simone Savastano², Luca Bontempi³, Valentina De Regibus⁴, Ederina Mulargia⁵, Enrico Baldi⁶, Saverio Iacopino⁴, Maurizio G Lunati⁵, Antonio Curnis³

Affiliations

¹ Cardiac Intensive Care Unit, Arrhythmia and Electrophysiology and Experimental Cardiology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy. Electronic address: r.rordorf@smatteo.pv.it.
² Cardiac Intensive Care Unit, Arrhythmia and Electrophysiology and Experimental Cardiology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
³ Department of Cardiology, Civili Hospital and University of Brescia, Brescia, Italy.
⁴ Maria Cecilia Hospital, GVM Care & Research, Cotignola, Italy.
⁵ Department of Cardiology/Cardiac-Thoracic-Vascular Surgery "A. De Gasperis", Milano, Italy.
⁶ Cardiac Intensive Care Unit, Arrhythmia and Electrophysiology and Experimental Cardiology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; Department of Molecular Medicine, Section of Cardiology, University of Pavia, Pavia, Italy.

PMID: 32240867
DOI: 10.1016/j.jelectrocard.2020.03.010

Abstract

About 4.5-20% of patients after heart transplant require pacemaker (PM) implantation. The high infective risk profile and the low probability of pacing dependency make heart-transplanted patients the ideal candidates for a leadless single-chamber PM. We report the first multicenter experience of leadless PM implantation in a series of heart-transplanted patients with a long-term follow-up. Our data confirm the feasibility and acceptable safety of leadless device in this peculiar kind of patients, despite implantation seems to be slightly more challenging with respect to non-transplanted patients. Although more data are required, a leadless single-chamber surveillance PM seems a valuable option for heart-transplanted patients.

Keywords: Heart transplantation; Leadless pacemaker.

Publication types

Multicenter Study

MeSH terms

Arrhythmias, Cardiac / therapy
Electrocardiography
Equipment Design
Heart Transplantation*
Humans
Pacemaker, Artificial*
Treatment Outcome