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Mediclinic News : Historic operation done at Panorama

Title

Historic operation done at Panorama

Date

2016-11-02

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News Description

Tygerburger (Brackenfell) Tygerburger (De Grendel) Tygerburger (Durbanville) Tygerburger (Goodwood) Tygerburger (Parow) Tygerburger (Kuilsrivier) Tygerburger (Table View) Ahistoric operation at Mediclinic Panorama lasted just 20 minutes, but Brackenfell's Joan van Niekerk (74) will reap the benefits of the world's smallest pacemaker for a good 10 years. Says the innovative surgeon, Dr Razeen Gopal, during surgery: "We're going to come back just a little now to free the housing from the device." To the untrained eye something remarkable is happening on the fluoroscopic view (Xray) screen. In shades of purple one can see a capsule, which moves rhythmically with a beating heart, slowly detaching from a tube. This "capsule" is the new technological marvel, and has recently been implanted by Gopal in the operation that is a first for Africa post FDA approval. He looks at another screen and says: "OK, we've got capture at 100 — nice and still ... Nice and still ..." The historic operation on Van Niekerk made her want to clean beforehand, she says laughingly. "I didn't even know I was going to get this device before I went to hospital! Before I went, I Googled the old procedure and saw it was a big operation, so I thought I'd better mop the floors because I wouldn't be able to do it for a while afterwards," she laughs. When she was told by Gopal she will be the first to get this operation, she responded: "Gee, wow! Why me?" "He just told me it's because I'm special and always do what he says!" This is the first time Van Niekerk has had a pacemaker to help her. She used to get heart palpitations every now and again if she worked in the house or the garden, but so far, so good. "I worked in the garden the very next day. I have to give all the accolades to Gopal, who is a fantastic cardiac electrophysiologist. I put my faith and my trust in him," she says. Gopal continues: "The device underwent trials in the United States and received FDA (Food and Drug Administration) approval. It is now being actively used in a few countries." The tiny pacemaker is entirely wireless, and at 6.7 mm in diameter and 25.9 mm in length, it is only one tenth the size of an ordinary pacemaker. "It is small enough to be delivered through a catheter via the femoral vein in the groin and implanted directly into the right ventricle of the heart, providing a safe alternative to conventional pacemakers without the complications associated with cardiac wires," explains Gopal. The average battery life of the device is about 10 years, and a second or even a third device can be placed in the right ventricle if necessary in future.
Created at 2016/11/09 04:30 PM by Mediclinic
Last modified at 2016/11/09 04:30 PM by Mediclinic