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Permanent pacemaker implantation 

Permanent pacemaker implantation
Permanent pacemaker implantation

Andrew Mitchell

and Oliver Ormerod

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date: 21 September 2020

This chapter covers pacemaker implantation. Pre-procedure considerations such as the operative conditions and steps for patient preparations are outlined. The implantation procedure is discussed in detail, with visual aids to show the incision and pocket placement, techniques to improve the success of the operation, and different types of venous access. Advantages and disadvantages of different routes are summarized. Lead implantation is covered, from positioning, securing, and electrical testing. Connecting the generator and wound closure is followed by a description of post-procedure care. Alternative device types and sites and are outlined, with indications for choice. Finally, special considerations in the young patient are described.

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