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Pulse generator replacement 

Pulse generator replacement
Pulse generator replacement

Jonathan Timperley

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date: 28 September 2020

This chapter covers pulse generator replacement, from general principles to pocket revision. Indications for pulse generator replacement are briefly covered, including pre-operative checks such as lead configuration and underlying rhythms being confirmed prior to the operation. Patient preparation is described, and the operative technique for removing the old pulse generator and new implantation are described, including common pitfalls. Different techniques, including moving from dual to single chamber or the addition of new leads are outlined, rationales are provided, and methods for carrying out each technique are discussed. The opportunity for pocket revision is described.

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