Optimizing Pacemaker Longevity with Pacing Mode and Settings Programming: Results from a Pacemaker Multicenter Registry

Benkemoun, Henri; Sacrez, J; Lagrange, Philippe; Amiel, A; Prakash, Atul; Himmrich, Ewald; Aimè, Ezio; Mairesse, Georges H.; Guénon, Christine; Sbragia, Pascal

doi:10.1111/j.1540-8159.2011.03318.x

Cited by 17 publications

(13 citation statements)

References 17 publications

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“…We chose the expected lifespan of a PM as the time point of interest, and the range of average lifespans of PM in the literature was 7.2 to a maximum of 11.2 years with optimal pacing and reprogramming. 12,13…”

Section: Discussionmentioning

confidence: 99%

“…For a given time point of interest, we conducted extrapolation of MRI usage based on this survival model, estimating the time to event probability. We chose the expected lifespan of a PM as the time point of interest, and the range of average lifespans of PM in the literature was 7.2 to a maximum of 11.2 years with optimal pacing and reprogramming …”

Section: Methodsmentioning

confidence: 99%

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Incidence and predictors of MRI scan utilization in MRI‐conditional pacemaker recipients: A multicenter experience

Gopinathannair

Mar

Gandhi

et al. 2018

Pacing Clinical Electrophis

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Incidence and predictors of MRI scan utilization in MRI‐conditional pacemaker recipients: A multicenter experience

Gopinathannair

Mar

Gandhi

et al. 2018

Pacing Clinical Electrophis

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“…Today, it has been estimated that the average pacemaker patient receives their implant at age 75 years and the average pacemaker now lasts approximately 10 years . Therefore, it is hoped and often the case that many patients receive multiple pacemakers and multiple leads in their lifetime.…”

Section: Discussionmentioning

confidence: 99%

Right Ventricular Anatomy Can Accommodate Multiple Micra Transcatheter Pacemakers

Omdahl

Eggen

Bonner

et al. 2016

Pacing and Clinical Electrophysiology

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BackgroundThe introduction of transcatheter pacemaker technology has the potential to significantly reduce if not eliminate a number of complications associated with a traditional leaded pacing system. However, this technology raises new questions regarding how to manage the device at end of service, the number of devices the right ventricle (RV) can accommodate, and what patient age is appropriate for this therapy. In this study, six human cadaver hearts and one reanimated human heart (not deemed viable for transplant) were each implanted with three Micra devices in traditional pacing locations via fluoroscopic imaging.MethodsA total of six human cadaver hearts were obtained from the University of Minnesota Anatomy Bequest Program; the seventh heart was a heart not deemed viable for transplant obtained from LifeSource and then reanimated using Visible Heart® methodologies. Each heart was implanted with multiple Micras using imaging and proper delivery tools; in these, the right ventricular volumes were measured and recorded. The hearts were subsequently dissected to view the right ventricular anatomies and the positions and spacing between devices.ResultsMultiple Micra devices could be placed in each heart in traditional, clinically accepted pacing implant locations within the RV and in each case without physical device interactions. This was true even in a human heart considered to be relatively small.ConclusionsAlthough this technology is new, it was demonstrated here that within the human heart's RV, three Micra devices could be accommodated within traditional pacing locations: with the potential in some, for even more.

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“…In the United States alone 225000 pacemakers are implanted each year[19]. And while in a recent pacemaker recipient registry the mean longevity of pacemakers was 11.2 ± 2.6 years, patients receiving the devices often do not live that long[28]. Brunner et al[29] found that only 66% of pacemaker recipients are still alive at 5 years after implantation.…”

Section: Feasibilitymentioning

confidence: 99%

Pacemaker recycling: A notion whose time has come

Runge

Baman

Davis

et al. 2017

WJC

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The purpose of this paper is to summarize the need, feasibility, safety, legality, and ethical perspectives of pacemaker reutilization in low- and middle-income countries (LMICs). It will also describe, in-depth, Project My Heart Your Heart (PMHYH) as a model for pacemaker reuse in LMICs. The primary source of the discussion points in this paper is a collection of 14 publications produced by the research team at the University of Michigan and its collaborative partners. The need for pacemaker reutilization in LMICs is evident. Numerous studies show that the concept of pacemaker reutilization in LMICs is feasible. Infection and device malfunction are the main concerns in regard to pacemaker reutilization, yet many studies have shown that pacemaker reuse is not associated with increased infection risk or higher mortality compared with new device implantation. Under the right circumstances, the ethical and legal bases for pacemaker reutilization are supported. PMHYH is a proof of concept pacemaker donation initiative that has allowed funeral home and crematory directors to send explanted devices to an academic center for evaluation and re-sterilization before donation to underserved patients in LMICs. The time is now to pursue large-scale studies and trials of pacemaker reuse for the betterment of society. PMHYH is leading the way in the effort and is poised to conduct a prospective randomized, non-inferiority, multicenter study to confirm the clinical efficacy and safety of pacemaker reuse, for clinical and legal support.

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Optimizing Pacemaker Longevity with Pacing Mode and Settings Programming: Results from a Pacemaker Multicenter Registry

Abstract: This study provides information on dual chamber pacemakers' longevity and highlights the impact of devices' reprogramming on expected longevities.

Cited by 17 publications

References 17 publications

Incidence and predictors of MRI scan utilization in MRI‐conditional pacemaker recipients: A multicenter experience

Incidence and predictors of MRI scan utilization in MRI‐conditional pacemaker recipients: A multicenter experience

Right Ventricular Anatomy Can Accommodate Multiple Micra Transcatheter Pacemakers

Pacemaker recycling: A notion whose time has come

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