Revolutionising cardiac care: Leadless pacemakers offer new lifelines tohigh-risk patients
India, Sept. 21 -- Cardiovascular disease is still one of the leading causes of mortality worldwide, and in India, the burden is unfortunately increasing at an alarming rate. For decades, pacemakers have played an essential role in treating and modulating the heartbeat to prevent patients from having lethal episodes. Dr (Prof.) D. S. Gambhir at Kailash Hospital & Heart Institute, Noida, one of the key pioneers of this new technology, provides a series of procedures where leadless pacemakers have been placed in patients who would otherwise be seen as untreatable.
Case 1: Restoring Hope in a Diabetic Patient
In one dramatic case, a 53-year-old diabetic man had undergone two previous pacemaker implantations-first on the left and then on the right side of the chest. Both implantations had to be explanted after the patient developed infections at the implant sites. Dr Gambhir and his team provided a glimmer of hope in this case again via leadless pacing. "In just under 24 hours, this patient was discharged in stable condition and recovered without any complications on follow-up," says Dr Gambhir.
Case 2: A Safer Option for a Complicated Patient History
Another remarkable case was a 72-year-old man who had deep vein thrombosis, a history of prostate cancer, frequent episodes of loss of consciousness, and high-degree electric impulse conduction blocks. "The patient also had an implanted IVC filter and a low platelet count, which made traditional pacing both unsafe and impractical. A leadless pacemaker utilising new-generation active fixation was chosen and successfully implanted without causing any damage to the IVC filter. The patient recovered well, and follow-up appointments demonstrated stable and effective pacing," says Dr Gambhir.
Dr Gambhir says, "Leadless pacemakers avoid many of the complications and weaknesses of the standard system that may cause patients discomfort, such as surgical pain in the pocket, late pacemaker extrusion, and infection."...
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