학술논문

Leadless pacing in the elderly: never too old for something new
Document Type
article
Source
Monaldi Archives for Chest Disease, Vol 90, Iss 4 (2020)
Subject
Leadless pacemaker
lead extraction
Micra
cardiac pacing
elderly
Medicine
Language
English
ISSN
1122-0643
2532-5264
78597404
Abstract
Rates of cardiac pacemaker implantation rise with age, and, meanwhile, elderly patient may be at great risk of complications, as pneumothorax, lead perforation, or pocket dehiscence. The use of leadless pacemaker could overcome peri- and post-procedural complications related to the presence of transvenous leads and pocket. The study aims to investigate feasibility and outcomes of Micra Transcatheter Pacing System (M-TPS) implantation in elderly, which represents a challenge for conventional cardiac pacing. Between May 2014 and July 2019, 109 patients (88 males, mean age 77.71±9.68 years) underwent M-TPS implantation at our Center, targeting a non-apical site of delivery when feasible. Study population was divided into two groups according to age (group 1