CAN ALL PATIENT'S HAVE LEADLESS PACEMAKER ?

NO , only who need a single chamber pacemaker (also known as a ventricular pacemaker, or VVIR).

SO WHO ARE THE RECOMMENDED PATIENT'S : VERY FEW AT PRESENT 


  • symptomatic paroxysmal or permanent high grade AV block in the presence of AF
  • symptomatic paroxysmal or permanent high grade AV block in the absence  of AF, as an alternative to dual chamber pacing when atrial lead placement is considered difficult, high risk, or not deemed necessary for effective therapy
  • symptomatic bradycardia-tachycardia syndrome or sinus node dysfunction (sinus bradycardia/sinus pauses), as an alternative to atrial or dual chamber pacing when atrial lead placement is considered difficult, high risk, or not deemed necessary for effective therapy.

Unlike most pacemakers that are placed in the patient's chest with leads running to the heart, leadless pacemakers are implanted directly into the patient’s heart.


It is small about the size of large vitamin capsule and thus implanted via a less invasive procedure – it  is placed in the heart via a vein in the leg.


ADVANTAGES


  • No lead-related infections
  • No lead fractures, lead insulation or connector problems
  • No risk of lead-induced tricuspid regurgitation
  • No surgery to create subcutaneous pulse generator pocket
  • Greater patient comfort postoperatively and elimination of scars and generator bulge No pocket-related infection or hematoma 




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