JACC: Basic to Translational Science (Dec 2018)

Leadless Dual-Chamber Pacing

  • Lukas Bereuter, MSc,
  • Mirco Gysin, MSc,
  • Thomas Kueffer, MSc,
  • Martin Kucera, MSc,
  • Thomas Niederhauser, PhD,
  • Jürg Fuhrer, MD,
  • Paul Heinisch, MD,
  • Adrian Zurbuchen, PhD,
  • Dominik Obrist, PhD,
  • Hildegard Tanner, MD,
  • Andreas Haeberlin, MD, PhD

Journal volume & issue
Vol. 3, no. 6
pp. 813 – 823

Abstract

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Summary: Contemporary leadless pacemakers only feature single-chamber pacing capability. This study presents a prototype of a leadless dual-chamber pacemaker. Highly energy-efficient intrabody communication was implemented for wireless pacemaker synchronization. Optimal communication parameters were obtained by in vivo and ex vivo measurements in the heart and blood. The prototype successfully performed dual-chamber pacing in vivo. The presented wireless communication method may in the future also enable leadless cardiac resynchronization therapy. Key Words: intrabody communication, leadless dual-chamber pacing, leadless pacemaker, low power, wireless communication