Implantation of Leadless Pacemaker in a middle-aged patient: An ultra-short case study

T. Joseph*

Consultant Interventional Cardiologist & Electrophysiologist, Kauvery Hospital, Trichy – Heartcity, India

A 58-years old gentleman presented with a history of multiple episodes of pacemaker erosion since 2017. The patient had been previously implanted with a conventional lead pacemaker four to five times, on both the left and right side of the chest, which kept getting eroded.

At Kauvery Hospital Heart Rhythm Center at Trichy, he was advised of intra-cardiac implantation of a miniature device. AV MICRA is an advanced device and non-allergic to patients. It weighs less than nine grams and has a volume of 0.8 cc, and is sent directly to the heart through a catheter. It is implanted via a femoral vein transcatheter approach and requires no chest incision or subcutaneous generator pocket whereas, in a conventional pacemaker, the electrode system is placed in the pectoral area (chest), after a local surgery, and wires are connected to the heart.

The patient was discharged, after a brief period of observation, on the very next day after the implantation. He would however be visiting the hospital to get the device monitored over the coming months.

Acknowledgments

We thank our ever-supportive management-who’ve backed us to deliver world-class services at Heart City, I thank Dr. B. Vijayasekaran for proposing the idea, and I am also indebted to the patient’s confidence reposed in us. I thank our Catheterization Lab team, who have been very supportive in managing challenging interventions.

References

https://www.thehindu.com/news/cities/Tiruchirapalli/hospital-implants-leadless-pacemaker-in-patient/article65056573.ece
Joseph T, Hemachandran M, Ram Shankar, et al. Leadless pacemaker implantation in a young patient with recurrent pacing system infection. IHJ Cardiovascular Case Reports (CVCR). 2020;4(1):21-3.

Dr. T. Joseph

Consultant Interventional Cardiologist & Electrophysiologist

Implantation of Leadless Pacemaker in a middle-aged patient: An ultra-short case study