Pacemaker Implantation Expert in Perumbakkam

Your Trusted Partner in Pacemaker Implantation

A pacemaker is a small medical device implanted in the chest to help regulate an irregular A pacemaker is a small medical device implanted in the chest to help regulate an irregular. We are here to provide you with top-notch care and guidance to tackle your problems.

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Understanding Pacemaker Implantation

WHEN IS A PACEMAKER USED

A pacemaker is used when a person has an irregular or slow heartbeat, known as bradycardia, which can cause symptoms like dizziness, fatigue, or fainting. It helps regulate the heart’s rhythm and maintain a steady heartbeat.

Techniques of Permanent Pacemaker Implantation?

The techniques involved in a permanent pacemaker implantation can be summarized in points:
  • Patient Preparation:
    • Pre-operative assessment, including medical history and tests.
    • Consent obtained from the patient.
  • Anesthesia:
    • Local anesthesia or conscious sedation is typically used.
  • Access:
    • A small incision is usually made below the collarbone.
  • Venous Access:
    • A vein (often the subclavian or cephalic vein) is accessed using a guidewire and sheath.
  • Lead Placement:
    • One or more pacing leads are inserted through the sheath and guided to the heart’s chambers using fluoroscopy or echocardiography.
    • Leads are attached to the heart tissue and connected to the pacemaker generator.
  • Pocket Creation:
    • A pocket is created under the skin to hold the pacemaker generator.
  • Generator Implantation:
    • The pacemaker generator is placed in the pocket and connected to the leads.
  • Testing:
    • The system is tested to ensure proper pacing and sensing of the heart’s electrical activity.
  • Closure:
    • Incisions are closed with sutures or adhesive.
  • Post-Operative Care:
    • The patient is monitored, and instructions for wound care and activity restrictions are provided.
  • Follow-Up:
    • Regular follow-up visits are scheduled to check the device’s function and adjust settings as needed.
These are the key steps involved in permanent pacemaker implantation, but the specific details may vary depending on the patient’s condition and the choice of pacemaker device.

Side effects of Pacemaker Implantation?

Pacemaker implantation is generally safe, but there can be some potential side effects and risks associated with the procedure. These can include:
  • Infection: There is a small risk of infection at the surgical site, which can lead to redness, swelling, or discharge.
  • Bleeding or Hematoma: Some bleeding at the incision site is common, but excessive bleeding or a hematoma (a collection of blood under the skin) can occur.
  • Allergic Reaction: Rarely, a patient may have an allergic reaction to materials used in the device or surgical procedure.
  • Nerve or Blood Vessel Injury: During the procedure, nearby nerves or blood vessels may be damaged, which can result in pain, numbness, or circulation issues.
  • Pneumothorax: There is a small risk of a collapsed lung (pneumothorax) if the lung is accidentally punctured during lead placement.
  • Lead Dislodgement or Fracture: The leads that connect the pacemaker to the heart can move or break, requiring repositioning or replacement.
  • Device Malfunction: Rarely, the pacemaker device can malfunction, which may require reprogramming or device replacement.
  • Electrical Interference: Some electronic devices or environments can interfere with the pacemaker’s function, though this is uncommon.
  • Scarring: Scarring at the incision site may occur and can be more noticeable in some individuals.
  • Psychological Effects: Some patients may experience anxiety or psychological distress related to the presence of the device.
Frequently Asked Question on Pacemaker Implantation
Why might someone need a pacemaker

Pacemakers are commonly recommended for individuals with bradycardia (a slow heart rate) or irregular heartbeats. Conditions such as atrial fibrillation, atrial flutter, or heart block may necessitate a pacemaker.

How is a pacemaker implanted?

Pacemaker implantation is typically performed in a hospital. During the procedure, a small incision is made in the chest, and leads (thin wires) are threaded through blood vessels into the heart. The leads are then connected to the pacemaker device, which is usually implanted beneath the skin near the collarbone.

Is pacemaker implantation a major surgery

Pacemaker implantation is considered a minor surgical procedure. It is often done under local anesthesia, and patients may go home the same day or after a short hospital stay

How long does the procedure take

The implantation procedure usually takes a few hours, including preparation and recovery time.

What is the recovery process like after pacemaker implantation

Recovery time varies, but most individuals can resume normal activities within a few days. Strenuous activities may be restricted for a few weeks.

Can a pacemaker be removed if needed

Yes, pacemakers can be removed if they are no longer needed or if complications arise. The removal procedure is generally less complex than the initial implantation.

How long does a pacemaker battery last

Pacemaker batteries typically last 5 to 15 years, depending on the device‘s settings and usage. When the battery runs low, a new device will be implanted.