Manipal Hospital Implanted a Dual-chamber Leadless Pacemaker in an 81-year-old Man

News Desk, News Nation 360 : Manipal Hospital, Dhakuria, made cardiac history with the successful implantation of a minimally invasive dual-chamber leadless pacemaker under the skilled hands of Dr Pradip Bhowmik. The surgery was performed on an 81-year-old patient with a diagnosis of sick sinus syndrome and profound bradycardia with high creatinine levels, making open-heart surgery or conventional wired pacemaker implantation risky. The two-chamber leadless pacemaker system involves two tiny devices implanted in the atrium and ventricle using a catheter inserted through the femoral vein with no surgical cut. These pacemakers are fixed directly onto the heart's inner wall with a helical screw mechanism and transmit wirelessly to preserve coordinated heartbeat (AV synchrony) with high-technology advancements, providing more natural cardiac rhythms and improved recovery without the hazards associated with chest incisions or wire leads. The procedure takes 15–45 minutes, does not need general anaesthesia, and allows patients to be discharged as early as the following day. It reduces infection risk, makes extraction easier if necessary, and is appropriate for elderly or high-risk patients unable to withstand invasive treatments, constituting an advancement of great proportion for India's heart rhythm treatment. While explaining the case, Dr Pradip Bhowmik stated that this minimally invasive pacemaker marks a significant advancement in cardiac therapy, particularly for older individuals with numerous health issues. Dulal Kanti Ghosh had no issues following the treatment and is now living a healthy, active lifestyle. Unlike past single-chamber capsule pacemakers, the new dual-chamber technology solves existing issues such as shortness of breath and insufficient pacing support. In addition, this surgery removes the need for stitches, considerably minimises the danger of infection, and the pacemaker has a lifespan of 25 years, providing lifetime cardiac support with the option of replacement if necessary.

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