Micra Leadless Pacemaker in Mumbai
Next-Generation Pacemaker Technology
Consult Dr. Siddharth Sheth – Best Cardiologist for Pacemaker Implantation in Mumbai
Understanding Leadless Pacemakers
The Micra pacemaker represents a revolutionary advance in cardiac care. Unlike traditional pacemakers, it's a tiny, self-contained device—about the size of a large vitamin capsule—that is implanted directly into the heart without wires (leads) or a surgical pocket under the skin.
Why This Matters:
- No chest incision – no visible scar
- No leads – eliminates lead-related complications (fracture, dislodgement, infection)
- No chest bump – completely internal
- Ideal for elderly or high-risk patients who may not tolerate traditional surgery well
This makes Micra pacemaker implantation a game-changer for senior citizen heart treatment and for patients with limited venous access or high infection risk.
Who Is an Ideal Candidate?
The Micra leadless pacemaker is particularly suitable for:
- Senior citizens requiring single-chamber ventricular pacing
- Patients at high risk of infection (such as those with diabetes, chronic kidney disease, immunosuppression)
- Individuals with limited venous (vascular) access or prior complications from traditional pacemaker leads
- Patients with a history of device-related infections or lead failures
- Individuals seeking a minimally invasive option with faster recovery and fewer post-procedure restrictions
- Patients who want no chest scar or implanted pocket
What Is Micra Pacemaker Implantation?
Micra pacemaker implantation is a minimally invasive procedure performed under local anesthesia with conscious sedation, ensuring patient comfort while avoiding the need for open surgery.
The Procedure:
- A thin, flexible catheter is inserted through a small puncture in the femoral vein (in the groin / upper leg)
- The catheter is carefully guided through the bloodstream to your heart
- The Micra device is positioned in the right ventricle and securely attached to the heart wall s
- The device is tested to ensure optimal electrical function and stability
- The catheter is removed – no chest incision, no surgical pocket, and typically no stitches required
Duration:
Typically 1–2 hours, depending on patient condition and procedural complexit.
Hospital Stay:
Most patients are discharged within 24–48 hours, though some may go home the next day if stable
Benefits of Micra Leadless Pacemaker
| Feature | Traditional Pacemaker | Micra Leadless Pacemaker |
|---|---|---|
| Incision | Chest incision, visible scar | Tiny puncture in the groin, no chest scar |
| Leads | Requires 1–2 leads (wires) | No leads – completely wireless |
| Surgical pocket under skin | No pocket – device device implanted inside the heart | |
| Recovery | Temporary arm movement restrictions | Fewer activity restrictions and faster recovery |
| Complications | Risk of lead fracture, pocket infection | Significantly reduced risk of lead- and pocket-related complications |
| Size | Larger, may cause visible bump | 90% smaller - completely internal |
Micra pacemaker implantation is a generally safe procedure, especially when performed by experienced specialists. As with any medical procedure, there are some potential risks, though they are uncommon:
- Minimal bleeding or bruising at the catheter (groin) insertion site
- Device dislodgement (rare – less than 1%)
- Heart perforation or cardiac injury (very rare – less than 0.1%)
- Groin site complications, such as temporary discomfort or swelling
With proper patient selection and expert care, the risk of complications is low. Clinical studies have shown that leadless pacemakers are associated with lower rates of lead- and pocket-related complications compared to traditional pacemakers.
Immediate Recovery:
- You'll rest for a few hours after the procedure
- Most patients can walk and resume light activities within 24 hours
- Minimal activity restrictions compared to traditional pacemakers, as there is no chest incision
Follow-Up:
- First check: Typically within 2–4 weeks after implantation
- Regular checks: Every 6–12 months (in-clinic or via remote monitoring, if available)
- Battery longevity: Approximately 8–13 years on average, depending on usage and settings
Living with a Micra:
- No long-term arm restrictions, allowing a return to most normal daily activities
- MRI-compatible - safe for MRI scans under specific conditions (as advised by your doctor)
- Always carry your device ID card, especially when traveling or undergoing medical procedures
Expertise You Can Trust
Micra leadless pacemaker implantation demands precision, experience, and advanced clinical expertise. With a strong background in interventional cardiology and cardiac rhythm management, Dr. Siddharth Sheth ensures accurate device placement, careful patient selection, and safe procedural outcomes.
Every procedure is guided by a commitment to minimizing risks, optimizing long-term performance, and helping patients return to a better quality of life.