Malaczynska-Rajpold Katarzyna, Elliot Mark, Wijesuriya Nadeev, Mehta Vishal, Wong Tom, Rinaldi Christopher Aldo, Behar Jonathan M
Royal Brompton and Harefield Hospitals, Guy's and St. Thomas' NHS Foundation Trust, Westminster Bridge Road, London, SE1, UK.
St Thomas' Hospital, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Cardiol Ther. 2023 Mar;12(1):21-33. doi: 10.1007/s40119-022-00288-0. Epub 2022 Nov 22.
Since the introduction of transvenous cardiac pacing leads, pacemaker system design has remained similar for several decades. Progressive miniaturisation of electronic circuitry and batteries has enabled a smaller, single pacing unit comprising the intracardiac electrodes, generator and computer. This review explores the development of leadless pacing, the clinical trials comparing leadless to transvenous pacing in addition to the future developments of multi-chamber leadless pacing.
自从引入经静脉心脏起搏导线以来,起搏器系统设计在几十年间一直保持相似。电子电路和电池的逐步小型化使得能够制造出更小的、包含心内电极、发生器和计算机的单一起搏单元。本综述探讨了无导线起搏的发展、比较无导线起搏与经静脉起搏的临床试验,以及多腔无导线起搏的未来发展。