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Permanent pacemaker implantation 

Permanent pacemaker implantation
Chapter:
Permanent pacemaker implantation
Author(s):

Jonathan Timperley

, Paul Leeson

, Andrew RJ Mitchell

, and Timothy Betts

DOI:
10.1093/med/9780198571322.003.0002
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date: 14 October 2019

Introduction 50

Pre-procedure 50

Implantation procedure 52

Venous access 56

Lead implantation 62

Lead implantation: electrical testing 66

Connecting and burying the generator 68

Wound closure 68

Post-procedure care 68

Other sites for pacemaker implantation 70

Special considerations in the young 72

Pacemaker therapy for bradycardia is one of the most clinically and cost-effective forms of treatment in current medicine. Heart block carries a poor prognosis and syncope is very disabling. Pacemakers may return patients to a normal life expectancy and abolish symptoms at a modest cost. However, for the patient to get the benefit of pacing the pacemaker must work properly and not become infected. Getting the pacemaker implant right is central to both of these. Adequate results are relatively easy to achieve but getting really good results needs more thought and care....

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