Successful Leadless Pacemaker Implantation At AMRI Hospital
DR Dibya Ranjan Behera and his team performed the surgery at AMRI
Bhubaneswar: An elderly woman was experiencing frequent episodes of lightheadedness (presyncope). She was diagnosed to have Sick Sinus Syndrome with symptomatic bradycardia, and upon her admission to the emergency department, her heart rate dropped to a mere twenty-two beats per minute. A permanent pacemaker implantation (PPI) was scheduled for her.
The pacemaker has two components: a battery (pulse generator: PG) and leads (wires that connect the battery with the heart chambers). Usually these leads go through the subclavian veins, and the PG( battery) is inserted in the chest area beneath the skin by making a pocket.
If there is any disease or problem in the chest area and chest veins (subclavian veins), PPI cannot be done. Sometimes open-heart surgery with epicardial lead implantation is the only option.
This woman has undergone prior surgeries in the chest area, along with chemotherapy and radiotherapy. Due to these factors, the chest area and chest veins were deemed unsuitable for the conventional PPI. Fortunately, with recent technological advancements, there is an alternative available—the “Leadless Pacemaker.”
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The Leadless Pacemaker stands out as the smallest pacemaker to date, comparable in size to a one-rupee coin. Distinguished by its lack of leads, this pacemaker features a diminutive battery (PG) directly implanted inside the heart chamber to regulate the heart’s pace.
Dr. Dibya Ranjan Behera led team of doctors have successfully conducted a leadless pacemaker implantation at Àmri Hospital in Bhubaneswar. The patient was discharged in a stable condition. This marks the first instance of such a procedure at Àmri Hospital Bhubaneswar and is among the pioneering cases in our state. The introduction of this leadless pacemaker brings a promising outlook for patients facing similar conditions.
