Latest technology for tiniest patients

Experts from the Department of Cardiac Surgery and the Department of Pediatric Cardiology and General Pediatrics at University Clinical Center WUM, carried out the first procedure in Poland involving implantation of last generation Amvia Sky biventricular pacemaker in a child. The device offers more effective diagnostics, treatment, and improvement of the living standard. The young patient is already feeling well and has been released from hospital.

The product was implanted in a 5-year-old boy with a congenital heart disease who had previously had multiple cardiac surgeries and received a biological aortic valve and a prosthetic mechanical mitral valve.  

The pacemaker implantation procedure was conducted on September 12 by Michał Buczyński, MD from the Department of Cardiac Surgery led by prof. Mariusz Kuśmierczyk, and by Piotr Wieniawski, MD from the Department of Pediatric Cardiology and General Pediatrics led by prof. Bożena Werner. The surgery went out without complications. The young patient was released home in a good condition. Today, the boy came for a post-operative examination and check of the stimulation device. He is feeling well and strong. Even though he has some minor limitations, he can now enjoy his childhood.
- The patient will be needing more cardiac surgery procedures and a replacement of the stimulation device in the future, yet with the valves he has received and the pacemaker with a longer battery life, we are hoping to put this off as far as possible - says doctor Piotr Wieniawski.  

Latest generation equipment

Amvia Sky from Biotronik is the latest state-of-the-art line of pacemakers. The product is fitted with an extended and improved CLS (Closed-Loop-Stimulation) sensor, which follows the autonomic nervous system and adapts automatically to physical activity, emotional stress or drugs taken by the patient. It is the only pacemaker in the world which is fitted with the aATP function for managing atrial arrythmias. The product offers automatic 24/7 remote monitoring. It is the only device available with the option of demanding full sensor control, triggered remotely by a doctor, and a report is available in just a few minutes after function activation. Moreover, it has an algorithm for monitoring disruptions that may occur on the ventricular electrode. Analysis of transmitted records helps detect electrode damage at an early stage or detect electromagnetic interference that has an adverse effect on therapy. In this way, doctors can respond very early and follow up with an optimized procedure.  

The surgery was carried out by

Team of cardiac surgeons:

  • Prof. Mariusz Kuśmierczyk - implantation of prosthetic mitral valve
  • Michał Buczyński, MD - implantation of Amvia Sky stimulation system 
  • Karolina Szymczak, PhD, Mateusz Safian, PhD, Paulina Kopacz, PhD
  • Piotr Wieniawski, MD - qualification for surgery, intra-operative measurements of parameters, programming and controlling the stimulation system, peri-operative cardiological care
  • Jacek Kuźma, MD - intra-operative electrocardiography

Anesthesiologist: Dariusz Skaba, MD
Nurse anesthetists team: Paulina Wójcik, Aleksandr Korzeniowski
Perfusionists team: Maria Wysocka, Anna Miasopust
Surgical assistants team: Marlena Banasiewicz, Jolanta Świderska, Marta Roguska
Biotronik experts: Mikołaj Łuczak, DEng, and Ewelina Boczar