A team at Indraprastha Apollo Hospitals has set a new benchmark in cardiac care by carrying out the country’s first leadless pacemaker implantation through a metallic prosthetic tricuspid valve. The procedure was performed under the leadership of Dr Vanita Arora, Clinical Lead – Cardiac Electrophysiology, offering a minimally invasive solution for a highly complex case.
The patient, aged 65, had a long-standing history of heart disease and had earlier undergone tricuspid valve replacement with a mechanical prosthesis. He later developed sinus node dysfunction along with atrioventricular conduction issues, making a permanent pacemaker necessary. However, a conventional pacemaker could not be used, as inserting leads through the artificial valve risked damaging it and affecting its function.
To overcome this, doctors opted for a dual-chamber leadless pacemaker, delivered via a catheter inserted through a vein in the leg. Unlike traditional devices, leadless pacemakers are small, self-contained units implanted directly inside the heart, removing the need for wires or surgical pockets. This significantly lowers the chances of infection and device-related complications, while also avoiding interference with the artificial valve.
Using advanced cardiac mapping and highly accurate placement techniques, the team ensured restoration of a stable heart rhythm without compromising the prosthetic valve. The patient responded well to the procedure and was discharged in a stable condition.
This achievement marks a significant advancement in the use of leadless pacing technology for complex cardiac rhythm disorders, further strengthening Apollo Hospitals’ position in innovative cardiovascular treatment.
(Photo courtesy: www.apollohospitals.com)