Leadless Cardiac Stimulation: Ready to Take Centre Stage?

Over the past few years, the field of cardiac stimulation has witnessed the accelerated development of leadless cardiac pacing, a technology first conceived almost 50 years ago. Currently, two fully intracardiac devices allow single-chamber right-ventricular stimulation: the Nanostim™ and Micra™ leadles pacemakers. Both are still undergoing long-term study, but only the latter device is commercially available in Switzerland. The field of cardiac resynchronisation therapy is also exploring leadless technology, with the development of the Wireless-CRT system, although its state of development is less advanced. These technologies, though still in relatively early stages, represent initial steps in a revolution in cardiac stimulation.