The 92 -year -old retired school teacher received the first leadless pacemaker implantation of Mumbai through the neck of the neck.

Former English and History teacher Elizabeth Fizardo was feeling difficulty in breathing, dizziness and walking. “She was prescribed the drug after a consultation on March 18, but the next morning she woke up gasping for breath,” said her son Wilfred Fizardo.

Doctors recommend immediate intervention to regulate her heart rhythm.

On March 23, Dr. Haresh Mehta, with a Fortis Associate, Interventional and Structural Cardiology at Sl Raheja Hospital, Dr. Kayan Siadia and Dr. Raghav Nagpal conducted a minimum invasive surgery to transplant a leadless pacemaker, an advanced tool, which is not required inside the chest.

Due to physical obstacles and tortured veins in his leg, the team used jugular vein to insert the device, a rare approach, especially in India.

An ECG had revealed that Elizabeth was suffering from full heart block, requiring immediate intervention.

Dr. Mehta said, “She was small and her heart was also small in shape. A traditional pacemaker meant more recovery time and space issues. Therefore, we chose a lead-free option, which is compact and is directly implanted in the right ventricle,” Dr. Mehta said.

Unlike traditional pacemakers, which have a lead and transplanted under the skin, leadless variants are a 2-inch tube-like device that is placed directly into the heart.

The pacemaker is directly deployed in the right ventricle, where it distributes electrical impulses to regulate the heart rhythm. There is no incision in the chest or under the skin for the process, only a small puncture in the waist or neck.

“The pacemaker who was inserted into the patient is a small tube -like device, which measures only 2 inch (a traditional pacemaker measures 3 x 2 inch), which is ideal for older patients with small bodies or people required by lowly aggressive solutions,” Dr. Nagpal and Dr. Syodia told.

A leadless pacemaker has many advantages. It reduces the possibility of infections, avoids the complications of surgery, no scar is made on the chest, the device is easy to immiline, and it is a self-leasted device with an inbuilt battery.

It also removes the problem of meditating on daily tasks. It helps patients to move their hands independently swim or move activities such as exercise.

“As we see in older patients, leadless pacemakers, who are directly transplanted to the heart, offer a low aggressive solution. However, not all patients are candidates for leadless pacemaker, and a cardiologist required to determine the best option. We tested a Doppler to determine whether Elizabeth was a Doppler Test to determine whether a Dopper was tested to determine.

The device was successfully transplanted through the neck in the first type of adaptation in Mumbai.

Now completely recovered, Elizabeth is back with her family, and her children are nourishing every moment. “This is a full-cycle moment,” Dr. Mehta said, who revealed that he was once a Fizardo student.