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 Liverpool Cardiologists Lead 
the Way with Pioneering New Device  
  
LIVERPOOL Heart and Chest Hospital (LHCH) 
has been selected as part of a pilot group of specialist heart centres across 
Europe to pioneer a newly approved leadless pacemaker. 
It has become the 1st hospital in the North West and only the 4th centre in 
the UK to trial the new device.  
 
The 1.75g Medtronic device, measuring just 7mm x 26mm, and 
1⁄10
the size of 
a traditional pacemaker, recently gained CE Mark approval from European 
regulators and is now set to be implanted into 780 patients from 50 clinical 
centres as part of an on going global trial.  
LHCH is at the forefront of pacemaker research and is 
1 of Europe's busiest 
pacemaker implanting centres, as well as being the largest single site 
specialist heart and chest hospital in the country.   
LHCH Consultant Cardiologists, Dr Archie Rao and Dr Mark Hall, who performed the 
first of its innovative new procedures, said this was a 'breakthrough in 
heart rhythm management.'  
  
Dr Rao said:- "This is a real advance in 
pacemaker technology, because the absence of leads should hopefully limit the 
associated complications that can sometime arise during implantation and 
thereafter."  
 
Dr Hall added:- "Having the pacemaker entirely within the heart means no 
scar and no visible pacemaker under the skin. A lot of patients will prefer 
this. It may also mean that there is a lower risk of infection being transmitted 
into the heart as there is no risk of spread from the pacemaker pocket."  
 
Traditional pacemakers are inserted under the skin and connected to the heart by 
a lead which is placed in the heart via a vein. The lead carries electrical 
signals to correct slow or irregular heartbeats, but they can require 
replacement due to broken or dislodged wires.
The new device can be implanted directly in the heart and delivers electrical 
impulses from an electrode, removing the need for a lead.
The device, suitable for selected patients with bradycardia, is delivered via a 
catheter from the groin and sits within the lower right chamber of the heart 
(right ventricle).  
 
Commenting on the care he received from the team who implanted his new device, 
73 year old Thomas Nesbitt from Vauxhall said:- "All the doctors, cardiac 
physiologists and nurses who looked after me have been wonderful. I couldn't 
have wished for better care."  |