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Current Cardiology Reports

Leadless Devices: the Future of Pacing

Published in:
Authors
Benjamin W. Furman
Bo Wang
Aparna Sajja
Mikhael F. EL-Chami
Published in
Current Cardiology Reports | Issue 1/2026

Abstract

Purpose of Review

Leadless pacemakers (LPMs) are an established alternative to transvenous pacing systems for the treatment of bradyarrhythmias. This review outlines the evolution of LPMs, summarizes available safety and efficacy data, and highlights future development for leadless systems and the challenges that lie ahead.

Recent Findings

Data from prospective cohort studies, large patient registries, and meta-analyses demonstrate high implantation success rates and fewer long-term complications with LPMs when compared to transvenous systems. Recent advances in leadless systems include dual-chamber devices capable of atrial and ventricular synchronous pacing and LPMs integrated with subcutaneous defibrillators. Future directions for leadless systems include leadless cardiac resynchronization therapy and leadless conduction system pacing. However, unresolved issues remain, including management of device end of life.

Summary

LPMs are transforming cardiac pacing by reducing complications frequently observed with transvenous systems. Continued technological refinement and long-term clinical evaluation will guide broader adoption and optimize outcomes.
Title
Leadless Devices: the Future of Pacing
Authors
Benjamin W. Furman
Bo Wang
Aparna Sajja
Mikhael F. EL-Chami
Publication date
01-12-2026
Publisher
Springer US
Published in
Current Cardiology Reports / Issue 1/2026
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-025-02331-7
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Image Credits
Abstract graphic of layered, concentric circular shapes in bright green, pink, blue, and purple on a dark blue background. The rings and segments form a complex radial pattern without text/© Springer Health+ IME