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Infected Pacemaker Replaced With Novel Leadless Device
1 Oct
Summary
- A 63-year-old woman's infected pacemaker was successfully removed.
- A novel leadless pacemaker was implanted without a chest pocket.
- The patient recovered quickly, discharged the day after implantation.
A 63-year-old woman from Jammu experienced a serious infection at the site of her conventional pacemaker implant. Despite efforts to treat the wound, the infection persisted, necessitating the complete removal of the pacemaker and its leads. The patient presented with multiple complicating factors, including uncontrolled diabetes, steroid use for rheumatoid arthritis, and a history of left foot amputation.
With her heart still requiring pacing support, the medical team opted for a revolutionary approach: a dual-chamber AVEIR leadless pacemaker. This device, implanted directly within the heart via a catheter, eliminated the need for a surgical pocket, a critical consideration for this patient's healing challenges.
The procedure was performed through the femoral venous route, and the patient's recovery was swift. She was able to mobilize six hours post-implantation and was discharged the following day. Device parameters were satisfactory at follow-up, demonstrating the success of this advanced pacing solution.
