First in India: Dr. Arun Gopi Performs Successful Implantation of World’s First Dual Chamber Leadless Pacemaker (AVEIR DR) at MICC, Calicut
A groundbreaking achievement in Indian cardiology! The first implantation of the world’s first dual chamber leadless pacemaker — AVEIR DR by Abbott — was successfully performed at MetroMed International Cardiac Centre (MICC), Calicut, Kerala, by Dr. Arun Gopi and team.
This next-generation system delivers true DDDR pacing through two leadless implants positioned in the right atrium and right ventricle, communicating seamlessly via i2i (implant-to-implant) technology. The AVEIR DR offers up to 98% AV synchrony, even at heart rates up to 180 bpm, ensuring superior physiological pacing performance.
The procedure was performed on a 70-year-old patient with sick sinus syndrome and intermittent AV block (5-second pauses and tachy-brady syndrome). The implantation went smoothly, with excellent pacing parameters and a quick recovery.
Compared to earlier technologies like Micra AV, the AVEIR DR provides:
- True dual chamber DDDR pacing
- Reliable AV synchrony at higher heart rates
- Retrievability and mapping before implant
- MRI compatibility
- Single venous access deployment for minimal invasiveness
This historic success marks another major step in India’s electrophysiology advancements, introducing a novel, retrievable, dual chamber leadless pacing system to the country.
Heartfelt thanks to Dr. Mohammed Musthafa, Dr. Mohammed Shaloob, Dr. Gireesh P.V., Dr. Aswin Paul, Dr. Arif Mohammed, and Dr. Sakthivel, and the entire MICC team for their dedication and support in achieving this national milestone.

