Quito hospital implants first leadless pacemaker

Quito's Eugenio Espejo Hospital has successfully implanted its first leadless pacemaker, marking a significant advancement in cardiac care for the region. The procedure, performed on August 7, 2026, involved an 81-year-old patient suffering from complete atrioventricular block, a condition that disrupts the heart's electrical signaling.

The medical team, led by doctors Elías Vásquez, Alexander Ruales, and Rene Vicuña, utilized the advanced AVEIR unicameral device. This innovative pacemaker was implanted directly into the right ventricle of the heart through a percutaneous procedure, eliminating the need for the conventional wires used in traditional devices.

Dr. Elías Vásquez explained the benefits of this new technology, stating, "Unlike a conventional pacemaker, this device does not use wires and does not require open surgery. It is introduced percutaneously through a puncture in the femoral vein, at the groin level, to reach the heart." He further noted that this approach can decrease complications linked to electrodes and surgical wounds in selected patients.

While leadless pacemaker technology is not entirely new to Ecuador, its incorporation at the Eugenio Espejo Hospital signifies a step forward in expanding specialized cardiac treatments. The hospital's successful implementation highlights a growing trend towards less invasive and more effective cardiac interventions.

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Unlike a conventional pacemaker, this device does not use wires and does not require open surgery. It is introduced percutaneously through a puncture in the femoral vein, at the groin level, to reach the heart.