Getting A Pacemaker Implanted
The procedure to implant a pacemaker does not require open heart surgery, and most people go home within 24 hours.
Before the surgery, medication may be given to make you sleepy and comfortable. Generally, the procedure is performed under local anesthesia.
How is a traditional pacemaker system implanted?
- A small incision, approximately 5 cm long is made in the upper chest.
- A lead (thin insulated wire, like spaghetti noodle) is guided through the vein into the heart.
- Your doctor connects the lead to the pacemaker and programs the device.
- The pacemaker is then inserted beneath the skin.
- Your doctor tests the pacemaker to ensure it is working properly.
- The incision is then closed.
How is the transcatheter pacing system implanted?
- Your doctor will insert a straw-like catheter system into a vein, typically near the upper thigh area of your leg.
- The catheter system moves into the right ventricle of the heart.
- The transcatheter pacing system is placed against the heart wall and secured with flexible tines (see image at the far right below).
- Your doctor tests the transcatheter pacing system to ensure it is working properly.
- The catheter system is then removed.
