Leadless Pacemaker

Leadless Pacemaker

A leadless pacemaker is a small, self-contained device that helps regulate slow heart rhythms. Unlike traditional pacemakers, it does not require wires (leads) or a battery pack under the skin. Instead, the entire device is implanted directly into the right ventricle of your heart.

There are two main types of leadless pacemakers:

  • Leadless AV – senses signals from the upper chamber (atrium) and paces the lower chamber (ventricle)
  • Leadless VR – paces only the ventricle

Your cardiologist will choose the most appropriate type based on your heart rhythm and medical history.

Once implanted, the device monitors your heart and delivers electrical impulses only when needed—typically when your heart rate drops below a certain level.

What happens after the procedure?

Most patients stay in hospital overnight for monitoring. You will need to:

  • Rest flat for a few hours after the procedure.
  • Avoid heavy lifting or strenuous activity for about 7 days.
  • Attend follow-up appointments to check the device and battery.

You will be given a patient ID card to carry with you, which provides important information about your pacemaker for medical staff and security checks.

Let all your healthcare providers know you have a pacemaker—especially before having an MRI or surgery.

How is the procedure performed?

  • A canula or drip will be placed in your arm to allow the medical team to give medications.
  • You may receive antibiotics to reduce the risk of infection.
  • A sedative will be given to help you relax.
  • A local anaesthetic will numb the area in your groin.

Your cardiologist will make a small incision in your upper leg and insert a catheter through a vein. Using X-ray guidance, the pacemaker is delivered to your heart and secured inside the right ventricle. The device is then tested and programmed to suit your specific needs.

Once the pacemaker is in place, the catheter is removed, and the incision is closed.

What are the risks?

  • Minor bruising or bleeding at the insertion site
  • Temporary discomfort in the groin

Less common risks

  • Device movement or dislodgement
  • Reaction to contrast dye or anaesthetic.
  • Damage to blood vessels or heart tissue
  • Perforation of the heart wall (e.g. pericardial effusion or tamponade)
  • Blood stream infection.
  • Internal bleeding
  • Blood clots in the lungs or legs
  • Stroke
  • Kidney injury
  • Death, though this is extremely rare.

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