How Are Pacemakers Implanted?
Pacemakers are implanted two ways: • Endocardial approach. This is the most common technique used. • This procedure is performed by an electrophysiologist (cardiologist specializing in catheter procedures to treat abnormal heart rhythms) in a pacemaker or electrophysiology lab. • A local anesthetic (pain-relieving medication) is given to numb the area. An incision is made in the chest where the leads and pacemaker are inserted. • The lead(s) is inserted through the incision and into a vein, then guided to the heart with the aid of the fluoroscopy machine. • The lead tip attaches to the heart muscle, while the other end of the lead (attached to the pulse generator) is placed in a pocket created under the skin in the upper chest. • Epicardial approach. This technique is more commonly used in children than adults. • This procedure is performed by a surgeon in a surgical suite. General anesthesia is given to put you to sleep. • The surgeon attaches the lead tip to the heart muscle, while t
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