A Leap in Cardiac Care- Leadless Pacemaker Implantation

Background

An elderly male patient, aged 75, was admitted to BM Birla Heart Hospital with recurrent episodes of dizziness, fatigue, and occasional fainting spells. He had a history of hypertension and type 2 diabetes mellitus, both well-managed with medications. Diagnostic evaluations revealed bradycardia (abnormally slow heart rate), which significantly affected his daily activities and posed a serious risk of complications. Given his age and comorbidities, he required an advanced and minimally invasive solution for his heart rhythm disorder.

Investigation & Analysis

A thorough cardiac assessment, including ECG and Holter monitoring, confirmed the presence of sick sinus syndrome, a condition where the heart's natural pacemaker fails to maintain an adequate heart rate. Traditional pacemaker implantation posed risks such as lead-related complications, surgical pocket infections, and prolonged recovery, making a leadless pacemaker the preferred option.

Treatment & Management

Procedure: Under the expertise of Dr. Anil Mishra, Consultant Interventional Cardiologist and sought after Pacemaker implant Surgeon in Kolkata, the patient underwent the successful implantation of an AVEIR Leadless Pacemaker—a cutting-edge device designed to regulate heart rhythm without requiring leads or a surgical pocket.

Key Benefits of the AVEIR Leadless Pacemaker:

• Minimally invasive procedure performed through a catheter via the femoral vein.
• No surgical incision or pocket, eliminating infection risks and visible scars.
• Extended battery life of over 20 years, reducing the need for multiple surgeries.
• Lower complication rates compared to traditional pacemakers.

Post-Operative Recovery & Outcome

The procedure was completed successfully, and the patient was extubated within hours. His heart rate stabilsed, and post-operative monitoring showed normal sinus rhythm. By the second day, he was able to move around without dizziness, and he was discharged on day three with no complications.

Doctor’s Statement

Dr. Anil Mishra commented, “This breakthrough in pacemaker technology marks a significant advancement in cardiac care. The AVEIR Leadless Pacemaker is a life-changing innovation, offering improved safety, convenience, and longevity, especially for elderly patients with multiple comorbidities.”

With this first successful implantation at the Department of Cardiac Surgery, BM Birla Heart Hospital, the institution reaffirms its commitment to cutting-edge cardiac care, offering patients safer, more effective, and long-lasting solutions for heart rhythm disorders.