What Happens During the Pacemaker Implantation?
Pacemakers can be implanted two ways: • Inside the Heart (Endocardial, Transvenous approach): This is the most common technique used. A lead is placed into a vein (usually in your groin), and then guided to your heart. The tip of the lead attaches to your heart muscle. The other end of the lead is attached to the pulse generator, which is placed under the skin in your upper chest. This technique is done under local anesthesia (you will not be asleep). • Outside the Heart (Epicardial approach): The lead tip is attached to the outside of the heart. The other end of the lead is attached to the pulse generator, which is placed under the skin in your abdomen. This technique is done under general anesthesia (you will be asleep) by a surgeon. Your doctor will decide which approach is best for you. A Closer Look at What Happens During the Endocardial Approach • Your procedure will take place in the electrophysiology (EP) lab. You will lie on a bed and the nurse will start an IV (intravenous) l
