Leadless pacemaker: Performance and complications

Trends Cardiovasc Med. 2018 Feb;28(2):130-141. doi: 10.1016/j.tcm.2017.08.001. Epub 2017 Aug 9.


Traditional transvenous cardiac pacemakers have pitfalls due to lead- and device pocket-related complications. Leadless pacemakers were developed and introduced into clinical practice to overcome the shortcomings of traditional transvenous pacemakers. In this review, we provide a description of leadless pacemaker devices, and summarize existing data on device performance. We also describe associated complications during implantation procedure as well as during the follow-up period. Although current generation devices are limited to single-chamber pacing, future generation devices are expected to progress to multi-chamber multi-component pacing systems, and eventually to battery-less devices.

Keywords: Cardiac pacing; Leadless pacing.

Publication types

  • Review

MeSH terms

  • Arrhythmias, Cardiac / diagnosis
  • Arrhythmias, Cardiac / physiopathology
  • Arrhythmias, Cardiac / therapy*
  • Cardiac Pacing, Artificial* / adverse effects
  • Device Removal
  • Equipment Design
  • Equipment Failure
  • Humans
  • Pacemaker, Artificial* / adverse effects
  • Treatment Outcome