Leadless permanent pacemaker: an article review

Abstract

The idea of the pacemaker without lead (leadless) mentioned earlier, in hopes of becoming a solution to the problem - a problem associated mounting leads transvenous leads and stability. The success of the first installation of an external pacemaker system by Alber S. Hyman in 1932, then, in 1958 Rune Elmquist and Ake Senning did successfully epicardial pacemaker implantation, and in the same year, Seymour Furman managed using transvenous system for the first time, since the development of the pacemaker tends to stagnate in transvenous system. Although implantation of PPM classified as a minimally invasive procedure, there is a potential risk of complications. The concept of leadless pacemaker be the answer to the problems associated with pacemaker implantation, particularly in complications related to the existence and stability of the pocket, and transvenous lead. There are two systems available nowadays that can fully implanted in RV, either Nanostim or Micra. Another concept LP delivered through the ultrasound media by WiCSTM or WISE system (Wireless Cardiac Stimulation; EBR Systems, Sunnyvale, CA, USA). The system is designed to modify the dual chamber conventional pacemaker to be cardiac resynchronisation therapy (CRT).