In this informative video, Dr. Sunil Dwivedi, Consultant - Cardiology at Manipal Hospital Millers Road, discusses the key ...

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Leadless Pacemaker | Dr. Sunil Dwivedi | MHMR

I am Dr Sunil dedi consultant cardiologist manipal Hospital Millers road today I'll be speaking to you about leadless pacemakers as we all know that pacemakers are needed to improve the heart rate of the patient and it prevents them from collapse or breathlessness or heart failure so the conventional pacemakers are the one where we cut open hair below the chest bone and then we put a pacemaker which is a pocket calculator like device and there are two wires to put into the heart so this is a conventional way where it requires a minor surgery and we need to have good veins for the patient and the chances of infections are also there plus bleeding and the pacemaker is visible below the skin you can feel it and there are bit of a limitation in activities of the hand so but it has been very useful procedure and useful devices earlier which were conventional now the leadless Pacemakers have come which are the ones where there is no wire or lead is required you can easily put it into the heart without any cut in the chest and you put it from the leg and it's a small bullet capsule like device which helps in improving the heart rate I'll show you one device which we use to put it you can see it's a simple one single device delivery system uh which is used to put a leadless Spacemaker so this device is a handle where all the controls are there a single operator can do and this this is a shaft which goes up to the heart from the leg so you introduce this portion from the leg go up to the heart and this portion is flexible so you can easily do the control if you see here you can bend it and and put the device at the desired place in the heart and then if you focus here then this is a delivery system which comes out and it puts the pacemaker into the position this is a delivery mechanism so it's a very simple single operator driven device and delivery system which can be used you don't need any special precaution or you can don't need a special preparation for that so the benefits are there are no visible scars on the chest there is no bump of the pacemaker you can see and there are a lot of activities you can do easily like you know playing golf or tennis or table tennis which is easier there's no question of any wire fracture and medically speaking the chances of any infection the chances of having any vein Supply block or any lead fracture they are very less or virtually non-existent in a leadless pacemaker so it has come as a boon in lot of situation where conventional pacemakers are difficult to use or they have more complications thank you very much

Dr.

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