Study note

Leadless pacemakers and non-transvenous defibrillators

THE CONTEXT
These implantable devices have alternative arrangements associated with a lower likelihood of infection.

Leadless pacemakers

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Leadless pacemakers are very small devices implanted into the trabeculated right ventricular septum.
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They are considerably less likely to become infected and provide ventricular pacing only.

Non-transvenous implantable cardiac defibrillators

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Defibrillation leads are placed above or underneath the sternum, with the generator outside the sternum.
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These devices have no intravascular components, making infection and resulting bacteraemia less likely.
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